The emergency department is quiet in the evenings.

Even though it is an emergency department, not all patients who come to the emergency department are impatient.

During the day, most patients who can't get the outpatient number, or feel that they can't wait, can't stay up, or don't want to wait, will choose to come to the emergency department.

The biggest difference between the emergency department and the outpatient department is that there is no need to register directly.

Generally speaking, the emergency department of major hospitals follows the same process, the patient first registers and queues up at the triage desk, and then the nurse at the triage desk determines the next treatment arrangement according to the general condition of the patient.

When there are many patients in the emergency department, the nurse at the triage desk will forcibly triage some patients who are not very anxious to the outpatient clinic.

When there are not many patients in the department, the triage desk will arrange the patient registration according to the patient's general symptoms, and notify the corresponding level of doctor for treatment.

Therefore, during the day, there will be some convenient patients to come to the emergency department for treatment, instead of queuing in the outpatient department, it is better to come to the emergency department to queue, and if you are lucky, it may be faster.

Of course, when there are many people in the emergency department, you not only have to queue up, but also have to be prepared to queue up at any time.

After all, an emergency department is an emergency department, and unlike outpatient clinics, doctors and nurses do not arrange patients exactly according to the order of registration and queuing.

Maybe you've been waiting in line for a while, and it's almost you, and now there are several patients with more urgent conditions, sorry, wait.

Therefore, the pressure and workload of the nurses at the triage desk in the emergency department are very high, and they also need to have a certain amount of vision and experience.

This situation is much less at night, especially after ten o'clock in the evening, many people will try to delay until dawn even if they are uncomfortable, unless they are really in a hurry, and this situation is even less.

There are also many fewer doctors on duty at night in the emergency department than during the day, with a deputy director-level leader on duty, two or three attending doctors, plus several resident doctors.

People don't need too much, they can deal with daily situations, if there is really any emergency, it's nothing, a phone call, even if the doctors who get off work have already been caught in the bed and hugged their wives and started to warm up, then they have to rush back immediately.

Liang Qunfeng had already gotten off work early today, and there was no surgery scheduled at night, so Fang Han seemed more leisurely.

Every night, the reason why Fang Han got off work late was actually the same as going to work every morning, in order to earn some more skill points.

According to the normal situation, at 8 o'clock in the morning, the doctors start to work, and the first thing after work is to hand over the shift and make ward rounds, even if there is no attending doctor round arrangement or the chief director's round arrangement on the same day, the resident doctors also have to carry out routine ward rounds.

And the ward rounds are also divided into regions, each doctor has his own responsible patients and areas, patients who do not belong to themselves, other doctors rarely meddle casually, change the medical orders of other doctors at will, even if you change it correctly, you will be left complaining.

However, Fang Han's ward rounds will not only check the patients he is responsible for, he is all the patients in the entire observation room and check them together, taking turns, so in order to avoid conflicts with other doctors, Fang Han starts the ward rounds at four o'clock every day and ends on time at eight o'clock.

It's the same at night, other doctors get off work, this gap is also a blind spot, Fang Han has to go to the observation room again before getting off work to take a look around the situation of each patient.

For the patients in the emergency department, the doctor they remember the most is Dr. Fang, who is both handsome and caring, the first doctor they see when they open their eyes every day is Dr. Fang, and the last doctor they see before they close their eyes every day is also Dr. Fang.

Therefore, since Fang Han began to make rounds in the morning and evening, the spirit of the patients in the observation room has also improved a lot.

Try to imagine that when you open your eyes every day, you will see the handsome and approachable Dr. Fang, the mood of the whole day is beautiful, and similarly, before going to bed at night, you still see the handsome and kind Dr. Fang, and this night of sleeping is extraordinarily down-to-earth, and there will be no nightmares.

According to incomplete statistics, in the past two months, the proportion of female patients in the emergency department has increased a lot, and the recovery is good, but the discharge rate is not very high.

Sometimes, when doctors tell female patients that they can be discharged today or tomorrow, they often pretend to be uncomfortable and ask for two more days, and when the beds in the observation room are not very tight, the doctors will not refuse the patient's request.

During the rounds in the morning, there were many people who followed Fang Han, Ye Kai, Li Xiaofei, Jiang Feng, Lin Guangliang, Qin Xijiao, Chen Yuan, Lin Guangcai, etc.

At night, there are a lot fewer people, and most of the time it is just Ye Kai, who is always hospitalized, to accompany him.

Of course, it was still early in the morning, and there were many doctors who didn't leave work, and several residents in the office were lying in front of the computer sorting out medical records, and some were still preparing papers.

When Fang Han came back from the special needs ward, he went directly into the office, and some of the residents who were busy sorting out their medical records did not forget to greet Fang Han: "Doctor Fang!"

Fang Han smiled and nodded politely.

"Teacher, drink tea. Li Xiaofei made Fang Han a cup of tea and served it diligently.

Fang Han stretched out his hand to take it, walked to Li Xiaofei's desk and sat down.

As an intern, Fang Han does not have a desk in the office, and he rarely stays in the office during the day.

The doctor's desk, which is at the level of the deputy director of the emergency department, is like a desk in a classroom, with several rows and no blocks, and for the residents, their desks are not actually exclusive, but shared by several people.

Fang Haoyang hadn't left yet, as soon as Fang Han sat down, Fang Haoyang walked out of the innermost director's office, saw Fang Han stop, and beckoned gently: "Xiao Fang, come here." ”

Fang Han walked over with a teacup, the two of them entered the office, closed the door, and Fang Haoyang pointed to the sofa: "Sit down." ”

Fang Han sat down with a cup, and Fang Haoyang also sat down on the comfortable swivel leather chair behind the desk, and then asked, "Did you go to the old man of the Xu family for a follow-up just now?"

"Hmm. ”

"How's it going?"

"I'm already able to eat. Fang Han's words were concise and to the point, Fang Haoyang should be clear about this matter.

Fang Haoyang nodded, and said in a deep voice, "Fang Han, what are your plans in the future?"

"What are you going to do?" Fang Han was a little inexplicable: "After my internship, I naturally trained in the hospital." ”

Fang Han was very strange, could it be that there was any accident in his stay in the hospital?

Fang Haoyang waved his hand: "That's not what I'm talking about, you haven't officially graduated yet, but even if you graduate, it's only an undergraduate diploma, and even if the undergraduate diploma is not delayed at all, it will take several years to become a ruler." ”

Fang Han understood, and asked tentatively, "You mean to let me continue to take the postgraduate entrance examination after graduation?"

"I think it is necessary to take the postgraduate examination, when the time comes, you will be training in the hospital, and at the same time, you will not be delayed, and when the time comes, you will see which school you plan to take the postgraduate examination, and the hospital can also help you. ”

"It should still be in Linzhou College of Traditional Chinese Medicine. Fang Han thought about it and said, after graduating from the fifth year, if there is a way to go to graduate school, naturally you can change schools, change to a better school, but Fang Han feels that people can't forget their roots, Linzhou College of Traditional Chinese Medicine is okay for him, especially several tutors and professors, this time Linzhou College of Traditional Chinese Medicine also gave him three internship places in Jiang Zhongyuan, and one was given to him.

"You can do this, and the hospital will help you greet you when the time comes. Fang Haoyang knocked on the table: "But there are some things you still have to take precautions." ”

"What do you have to say, I don't like to guess. Fang Han couldn't stand Fang Haoyang's tone of conversation.

“......”

Fang Haoyang's head was full of black lines, this kid was so swollen, in the department, few people dared to talk to him like this.

If other resident doctors or attending doctors dared to use this tone, Fang Haoyang would not be a scolding, but this person was Fang Han......

Forget it, I still don't bother with this kid.

As Fang Han's performance became better and better, Fang Haoyang's sense of crisis became stronger and stronger.

Some time ago, there were people in the Provincial Hospital, the Medical Affiliated Hospital, and the Fengzhou Orthopedic Hospital who wanted to dig the foot of the wall, and now Fang Han is following the young master of the Zhang family, and today he is on the line with the Xu family.

If this continued, Fang Haoyang felt as if he couldn't control Fang Han anymore.

Therefore, he has been thinking about how to contain Fang Han's heart and avoid all accidents for the past two days.

"Your internship has not been short, and it should be clear that if you want to be promoted to the attending department as soon as possible, on the one hand, you need a diploma, on the other hand, a thesis, and your performance in the hospital is actually secondary. ”

I was heartbroken for Fang Han, this kid didn't know how to appreciate it?

"I know that. Fang Han nodded: "Haven't I been learning joint replacement for a while?"

"I know that, I'm just giving you a heads-up. Fang Haoyang didn't want to talk to Fang Han anymore, so he went straight to the point: "During this period of time, I plan to find you some medical records about rhubarb, you can study it carefully, and at the same time, I am also going to find some similar patients for you, you try to write a paper, and strive to make a little influence first." ”

Fang Han has also written a few papers before, but they are all small fights, and the impact is not great, it can only be said to be accumulation, if you want to publish influential papers, it will take effort.

In fact, the TCM internal medicine paper is similar to the Western medicine surgery paper, you need to have a large number of similar cases as a basis, rather than starting from a certain classic case to discuss the problem.

The medical community has always attached importance to what can be referred to and popularized, rather than one or two special cases, which are always a minority, and in the final analysis, they still have to serve the public.

This time, the illness of the old man of the Xu family is very interesting, Fang Haoyang plans to find some similar symptoms for Fang Han, and then let Fang Han write a paper with good influence.