The medical record of internal medicine can show a doctor's treatment level, the analysis of the disease, and the idea of medication, which can be reflected in the medical record, which is a good treatment file. Zhang Fan's foundation in internal medicine is average, that is, after work, in order to test the liver, and now he has a large number of medical records to study, and he will definitely not let it go.

For an hour, two hours, and three hours, Zhang Fan sat in front of the computer and did not get up once, but Zhu Qianqian went to the bathroom and poured water for Zhang Fan twice.

"Doctor Zhang, don't worry, anyway, it's best if you can finish the revision tonight, and if you can't finish the revision, it's okay tomorrow. You drink some coffee, my husband bought it specially, it tastes good. ”

Zhu Qianqian was so happy that she was dying, Zhang Fan was so bitter, she could liver better than her, she really copied the treasure. Zhang Fan is powerful, and Zhu Qianqian is also rare and generous, making coffee and pouring water, washing fruits and being busy.

Zhang Fan didn't feel bored at all, and began to carefully study and compare from the medical records, and analyzed a lot of knowledge and experience. In the previous cardiology department, his teaching did not accumulate so many medical records, and he did not have the opportunity to analyze them in this way.

The teaching in my heart is a Buddhist system, I can ignore the sick number if I can ignore the sick number, and I can rest early if I can rest early, Zhu Qianqian from the respiratory department is really able to fight.

"Doctor Zhu, why don't you take respiratory stimulants for this sick number?" asked Zhang Fan, pointing to the medical records of a sick number.

"Well, I also asked the director at that time, and the director said that the lung function of this patient has been weakened, and the use of respiratory stimulants will aggravate the retention of carbon dioxide. ”

"Oh. I see. ”

"You don't know, the director of our department is too strict, medical records like mine are considered good medical records in other departments, and your surgical medical records are all pasted and copied. We can't do it, we can't write a little experience, we don't give it, alas~! ”

Zhang Fan's cold sweat came down, "The skin is too thick, there are a lot of typos in the medical records, and I dislike the director for being strict, no matter how simple the surgical records are, the surgical records are also typed out word by word." If you were at the starting point, you would be scolded to death like this!" Zhang Fan didn't know what to say.

However, Zhu Qianqian also really fights, she has the most patient numbers in a ward, which is twice as many as the least doctors. A doctor can only manage eight patients at most, and no amount of energy is enough. Fortunately, the director of breathing is strict and meticulous in ward rounds, otherwise Zhu Qianqian's posture of receiving a sick number will definitely have problems.

The director can't say anything about her, what can a doctor who works hard to manage the sick say. I can't help but let her receive the sick number. Zhu Qianqian is like a robot cat, a small snack at a time, and a snack at a time.

The respiratory department is highly contagious, she is washing her hands at any time, Zhang Fan doesn't like to eat snacks very much, and she doesn't want to get up and wash her hands when she is fascinated by the medical records, so she listens to Zhu Qianqian's rat and eats like a mouse. It is very simple to revise the medical record, anyway, there is a template, but if you want to study it, you have to be attentive, Zhang Fan was upset when he listened. No wonder you don't eat dinner at night, snacks pack after pack, can you be hungry!

No problem, if he hadn't asked Zhu Qianqian for advice, Zhang Fan would have the heart to sit at the door. "Doctor Zhang, you don't need to be too careful about this, just take a look and change it. It's all a routine, just a few drugs. Just take a look at it, fix the typo, and fix the deductible points!"

She changed three medical records, but Zhang Fan didn't finish any of them, if it weren't for Zhang Fan not leaving the computer from beginning to end, she would have felt that Zhang Fan was grinding foreign workers.

"It's okay, I don't have many internal medicine transfers, and Dr. Zhu's medical records are just a good time to learn. Zhang Fan ignored her, if she didn't study it, it would be meaningless, and she didn't change her medical records for the sake of changing her medical records, she didn't gain anything at all, did it make sense to stay up late and sit here?

Although Zhu Qianqian has a lot of things, she is really not slow under her hands, the keyboard is flying, almost no mouse, all kinds of shortcuts, pasting, copying, modifying, and wrapping.

"You use shortcut keys, faster, this is my years of experience summary, using shortcut keys can save three minutes than using the mouse for a medical record, you want to use thirty medical records, save a lot of time, change it early, and rest early." ”

Zhu Qianqian really did it to the extreme, "Are you a typist or an internist?" Zhang Fan thought wonderingly.

"Doctor Zhu, the thirty-third bed is very suffocating, the bell is pressed, I took a look, and the oxygen saturation is a little low. The nurse came into the doctor's duty room and called Zhu Qianqian.

"I'll take a look, maybe the phlegm is blocking the airway, you continue to change the medical records. Zhu Qianqian got up and said with a stethoscope.

Zhang Fan didn't come to change her medical records, he came to transfer to another department to study, and it was impossible not to take a look if there was a sudden illness, "It's okay, I'll go and see it too." As she spoke, she also got up with a stethoscope, and Zhu Qianqian pursed her lips.

Thirty-three beds, male, in his seventies, smoker for more than 50 years. There are chronic obstructive pulmonary disease, pulmonary heart disease, high blood pressure, and hyperlipidemia, and this time I was admitted to the hospital because of a cold and infection.

"This Dr. Chen is not responsible at all, he doesn't prescribe a little ambroxol to materialize with so much sputum, and he has to suck phlegm in the middle of the night. It's really troublesome!" Zhu Qianqian kept babbling.

The voice was not loud, but the old man heard it, and patted the bed angrily, his face under the mask turned red, "Old man, don't be angry, I will tell the director tomorrow and let the director clean up Dr. Chen." Zhu Qianqian couldn't be a thief, and she calmed down the old man with a word. The family members are also dissatisfied, but what can be done, the old man is holding back, and he doesn't dare to say the doctor, for fear of provoking the doctor, and as soon as she delays, the old man will suffer even more.

Suction and nebulization, the old man felt a little better, and he could sleep for a while while half-lying. "You and the head nurse will get a thick mask like the one I brought tomorrow, your mask is not good, the respiratory department is very susceptible to infection, don't infect you." After dealing with the sick number, Zhu Qianqian said to Zhang Fan.

"Okay, I'll pick it up tomorrow. Zhang Fan responded, thought for a while and asked: "This patient, why didn't the doctor in charge give oxygen, why did you take over the shift and give a low-flow oxygen?"

"It's useless, it's useless to give oxygen without positive pressure for the old slow resistance, the next oxygen inhalation is also a psychological effect for him, he is sick like this, if you don't give some measures and treatment, he can give you trouble all night. Giving him some oxygen can also comfort and comfort him. Zhu Qianqian said proudly.

One night, the two of them didn't close their eyes, Zhang Fan was systematic and energetic, Zhu Qianqian had a son who ate foreign milk powder, and he was also energetic, and more than 30 medical records were all completed at dawn.

"Ouch! I'm really tired. I can't straighten my waist, Dr. Zhang, after the ward rounds are over, I will invite you to eat a bun. It's been a busy night, but I've never eaten buns outside, and the vendor who sells buns in front of the hospital grabs buns after wiping his nose with his hands, and I've seen them several times!"

"Hey! Zhang Fan, who stayed up all night and didn't collapse, almost made Zhu Qianqian collapse. Because of the stall selling steamed buns at the entrance of the hospital, Zhang Fan buys steamed buns there almost every day!

"No need. Thank you, Dr. Chu. ”