199 Natural selection
Is life cruel? It's cruel, but in fact, everyone who is born in this world is extremely lucky. Because you seized the most important opportunity, and then after a lot of hardships, conceived in October, and grew up!~ The dangers and difficulties here are one after another, each one is more difficult than the other, but you have bravely overcome these difficulties! So in the face of other difficulties, it is not a difficulty! Because you are the only king among billions!
In the fetal period, in fact, the principle pursued is natural selection. With the development of science to this day, there are many, many external forces intervening in this process, good or bad!
If there is a problem with an embryo, the couple is still young, there is still a chance to get pregnant, and they are very familiar with the doctor, the doctor will generally recommend not to protect the fetus and conform to the will of God. It's hard to listen to and hard to accept, but it's not the best choice.
Li Hui is three years older than Zhang Fan, he was naughty and didn't study well when he was young, and he caught up in installments after failing the college entrance examination, and his wife was three years older than him. This time, there was a red for no reason, and the family was very nervous, because the woman was old and there were not many opportunities. As the old saying goes, get married as soon as possible, have children as soon as possible. When you think about it, it really makes so much sense!
When Zhang Fan rushed to the hospital, there was a group of people standing outside the gynecological prenatal examination, Li Hui's brother-in-law was a lot, and the winter in Chasu City was too cold, almost all of them were dressed in leather clothes, and they were bloated and crowded, directly occupying the corridor. Although they didn't talk much, at a glance, the atmosphere was not very good.
Li Hui squatted in the corner with his head bowed and dejected. The most anxious thing about this kind of thing is the husband and wife, this is nature!
"What's wrong?" Zhang Fan approached and patted Li Hui on the shoulder.
"Lao Wang told me that the fetus was not developing well, and now the director is also here, just entered. Li Hui's depressed expression is directly two people from the previous youthful jump. Lao Wang is the attending doctor of gynecology, because Li Hui is a doctor in this hospital, after reading it, he felt that he should pay attention to it and give Li Hui face, so he told the director, and the director came from home to check it in detail.
"Oh, then wait for the news, there should be no problem. Zhang Fan is not easy to ask for specific reasons, and this kind of thing can only give Li Hui a little comfort, and nothing can help.
"I'm too bastard, this time I'm popular, it may have something to do with my smoking and drinking, otherwise why would there be such a problem in a good way!" Li Hui was blaming himself, something happened, and if he wanted to regret it, it would be up to God to give him a chance.
"What's the use of talking, cheer up, your wife is even more uncomfortable, your appearance will make people think, a man just wants to cry, and he has to put tears into his stomach, at this time, the most comforting thing is actually your wife!" Zhang Fan looked at Li Hui and was a little angry, although he was also very sympathetic to him, but when is it now, he is still chattering to find the reason, even if he finds the reason, what can he do!
Chen Hong, the director of the Department of Gynecology, is the first in the field of gynecology in Chasu City, and after a while, the director Chen Hong came out of the examination room. Li Hui's brothers-in-law rushed up, but they felt inappropriate, so they gave Li Hui the opportunity to speak, after all, Li Hui was also a doctor in the city hospital.
"Director!" Li Hui pitifully waited for Chen Hong's verdict, and Zhang Fan also stood by Li Hui's side. Director Chen first nodded to Zhang Fan, and then said to Li Hui: "The cervix is not opened, the fetal membranes are not broken, and there is not much difference between the size of the uterus and the month of menopause. "That's all good news.
They are all engaged in medicine, hearing this, Li Hui relaxed a little, and his tense shoulders began to slowly let go.
"However, the placenta is indeed a little stunted in development, and this threatened miscarriage can continue to be pregnant with rest. However, there is a certain risk, and it is difficult to say whether the development of the fetus in the later stage can catch up with the normal value. Think about it, discuss it with your family, and see what to do. ”
Chen Hong went to the office to wash his hands, and several of Li Hui's brothers-in-law also looked at Li Hui, whether or not, this moment is for Li Hui to decide.
Li Hui looked at his brother-in-law blankly, then turned his head to look at Zhang Fan, and then grabbed his hair and squatted in the corner. Embarrassed! Really embarrassed.
Fetal protection, according to the current level of medical care, should be able to continue the pregnancy, but the director's last sentence is the point, fetal growth is delayed!
The development of the fetus really has to grow step by step, once a certain period of time is missed, the child is either congenital insufficiency, or a certain organ is underdeveloped, or in the later stage, the time period for various hormone secretion has been missed, and the possibility of malformation is quite high.
If you don't protect the fetus, it's very simple, use some medicine, clean the uterus, and then observe it, and then you can go home, it's very simple and simple, but this choice and this decision made Li Hui heartache and couldn't decide. And his wife is not too young! If there is any accident in the future, I really can't imagine it!
"Why don't you just protect it?" Li Hui looked up at everyone after being distressed for a few minutes. This kind of thing, it's not who dares to make a decision, although it's the brother-in-law, according to Huaguo, it's just a relative.
The crowd sighed, but no one answered. Li Hui turned his head to look at Zhang Fan again, Zhang Fan's skills are high, he really wanted to hear Zhang Fan's advice, Zhang Fan thought for a while and said: "In this way, Director Chen has said very clearly, you should also hear what she means, you go to comfort and comfort your wife first, and then when the mood is stable, you two have a good discussion, and you are not in a hurry to take this time." ”
"That's it, that's it, there's no hurry, there's no hurry!" everyone agreed.
There are many people and great strength, Li Hui's wife asked several brothers to carry them to the ward, and Li Hui also followed, and when he took it away, he said to Zhang Fan: Thank you. With tears in his eyes, Zhang Fan was helpless, he couldn't help even if he wanted to.
The next day, Zhang Fan went to the ICU to report. Lin Long and Zhang Fan have dealt with each other a lot of times, and the two are very familiar. You don't have to be polite when you speak, what to say.
"Doctor Zhang, you don't need anyone to take it, after you get familiar with the department for a few days, you can be on duty alone. ”
"You're still looking for someone to take me!" Zhang Fan said politely.
"Okay! Don't be polite to me, you can look familiar with it yourself, and then bring a transfer doctor when you are on duty, otherwise you will have to pull someone to help you take over the shift when you go for surgery one day." ”
"Hey, that's really troublesome to the director!~" Zhang Fan touched his head embarrassedly.
"It's okay, what's the trouble, it's just that a master like you doesn't want to come to the ICU, and the average undergraduate student is now trying to stay here!" Lin Long said proudly.
In fact, the ICU is not very popular, mainly due to the impact of the expansion of university enrollment, there are more and more graduate students, and the major departments are now beginning to pick and choose, although these undergraduates have entered the hospital through various channels, but if there is no department director left after transferring to the department, it will be troublesome.
Undergraduate students are not like graduate students, and when they sign a contract with a regional tertiary hospital after graduation, they have already determined the department. At the end of the undergraduate transfer, no department is willing to ask for it, so they can only wait for the hospital to assign it.
The truth in this is too obvious. Someone, then you can wander and then spend something to get into the department you want to get into. If no one else works hard and your performance is not good, then the transfer is over, and the hospital leaders will either assign you to a medical and technical department, or some clinical departments where no one will do it.
In the same hospital, two doctors who entered the same hospital in the same year, one entered the infectious disease department, and the other entered the mainstream department, and it did not take a few years, but only five years, and the gap appeared! Whether it is money, connections, or achievements, they are all very different.
ICU, compared with other mainstream departments, is not a key department in the hospital, because this department is too young and too technological, and it is very difficult to come up with a little achievement. All kinds of instruments and all kinds of equipment, if you don't start with a doctor, you want to get ahead in the ICU, there is almost no chance!
Although the ICU is tired and difficult, it is much better than the emergency department and the infection department, so some transfer doctors who can't stay in the mainstream department are also desperate to die here for the liver, no liver can't work, once you enter the infection, emergency department, and then think about it later, unless you change hospitals!
Zhang Fan was familiar with this department, and after greeting a few doctors, he went to see Bayin. Bayin's current state is not bad, but he can't be careless, this kind of electrical injury is very prone to heart electrical disorders, so it can't be regarded as out of danger now.
And the ring finger and index finger of his right hand have been carbonized, and when his condition is stable, he will have to have surgery as soon as possible to cut off the necrotic part.
ICU patients can be said to be very seriously ill. Comatose, various organ failures, intubation needs, anyway, patients from various departments who need general care are all sent here, so you can imagine how dangerous the situation here is.
And almost all of those who can be sent to the ICU do not want to give up treatment. In general departments, if the patient's condition is serious, conservative treatment is ineffective and surgical treatment is not possible, the patient's family will generally be advised to transfer to the ICU or give up!
In this case, either you just give up the treatment, sign a non-rescue agreement, wait for death in the general ward, or be directly taken home, or sent to the ICU.
The scariest part of the ICU is the rescue, and the communication with the family. It is said that when the department was first established, there were six patients at the same time, almost one after the other, who needed to be rescued!
It is difficult to communicate with family members because the visiting time of this department is only half an hour in the morning, and family members are generally not allowed to enter at other times. Therefore, once the patient dies, although the condition has been explained in advance, there are still many people who cannot accept it, so the doctor-patient communication in this department is also very difficult.
In three days, Zhang Fan became familiar with the work of the department. There are single rooms in the general ward, and the ICU is no exception, there is also a single room, which is a separate ward divided by glass, and the average person in this ward really can't afford to live, and the cost is super expensive. And in this ward, there is a nurse who monitors them alone 24 hours a day.
Li Hui communicated with his wife for a long time, and the two gritted their teeth and decided to protect the fetus. This process may seem like a happy one, but it is actually very difficult, especially for pregnant women. Eating, drinking, and Lazar are all carried out in bed, and it feels like it is very happy, in fact, this process is really very difficult, normal people lie in bed for two days and are uncomfortable to death, not to mention that it is not easy for women to lie down until the fetus is normal!
In less than a week, Zhang Fan sent several people away. Money is not everything, but no money here is not finished, the ICU has a special nurse every day to urge the fee, every morning can hear similar words: "Nine beds, the cost is not much, hurry up and pay, otherwise you can't do the treatment!"
The atmosphere in the department is tense, and the doctors and nurses can only adjust themselves. Tell a joke in your free time, talk about gossip, seize the time to take a break, the eight hours of this department are too solid, sometimes it is impossible to rescue the sick number, and want to get off work on time.
The nurse bonus in this department is also the highest in the hospital, it can be said that youth is being exchanged for money, and the head nurse of the ICU is a young woman, and she has no scruples about making jokes. And she also likes to joke with Zhang Fan very much, because Zhang Fan is a clear-eyed person who can see that he will definitely be a promising doctor in the future.
"Doctor Zhang, come and beat my sister's legs, I heard that your orthopedic doctor has a very strong hand, I want to try it. With bewitching eyes, although wearing a mask, Zhang Fan could also think of her fiery lips.
"Head nurse, the people who beat their legs on TV are usually Xiao Anzi, Xiao Lizi or something!" said another older nurse.
"Haha! How do you know that Dr. Zhang, isn't it small? Have you tried?"
"Eh, two eldest sisters, let's have a good chat! Both are studying medicine, this joke is boring!" Zhang Fan said helplessly. There was no way, the doctor's workbench was all robbed by the transfer doctors, and they all had to work to write medical records, Zhang Fan was embarrassed to grab them, so he sat on the computer in the nurse's station and read the medical records.
"Haha! Dr. Zhang, I heard you have a partner?"
"Hmm!"
"Is it pretty? "Xiao Cheng in the ICU is a little nurse, a very beautiful girl, with a good figure and even better appearance, and she seems to be a little related to the head nurse. In other words, the frontier star on TV is actually a little more beautiful in the frontier, and he is not a particularly top-notch character.
Zhang Fan is not easy to answer, Xiao Cheng is drawing a thermometer on the side! Although she is drawing, in fact, her ears are also pricked up to listen to it, she is embarrassed to make this kind of joke, but it does not prevent her from caring!
"Each has its own merits!" Zhang Fan said hesitantly. The young woman's flirting is really unscrupulous, and the head nurse is not a doctor, so there is a natural professional oppression for this kind of young doctor.
"I haven't seen the world before, or you break up with your girlfriend, chase us Xiao Cheng!"
"Head nurse, I'll be busy first!" Zhang Fan fled. This kind of joke is actually only made by people like Zhang Fan, and the head nurse will make it. Other transfer students, before they have a practicing license, can make the nurse speak in a harmonious voice.
After work, you can only joke to adjust the atmosphere, otherwise the tense and depressing atmosphere of work can make the medical staff collapse.
In the second week that Zhang Fan stayed in the department, a special patient came!