The work of internal medicine began, and in internal medicine, we must first be able to sink, what is sinkable, that is, to be able to sit still. Rounds in the morning, look at the reported test sheets, revise the doctor's orders, and open new test sheets.

Spend most of the day sitting at a computer typing. Every now and then, I have to flip through a book. Discuss it with other doctors if necessary. The cardiology department also has an additional treatment method, intervention. It is very time and energy consuming.

The intervention of the city hospital really allowed a few women to prop up. Under the pressure of Lao Huang, it developed hard, and after Ouyang came to power, he received strong support and many new doctors.

Ren Li has stopped intervening, the new doctor has taken over, she has been fighting for a few years, she has eaten too much radiation, and her white blood cells can't go up. Usually it is behind the lead plate to guide everyone to do it.

Zhang Fan's teaching Ye Jing will never intervene, radiation is harmful, although there is protection, it is still harmful, she directly rejected the director's proposal.

I just want to be an ordinary bedside doctor, and I don't want to go to further education. If you have a sick number, you can see it, and if you can't see it, you can find a senior doctor. Anyway, there are senior doctors in the department, and the patient numbers that can't be handled are pushed to others.

However, her advantage is meticulousness, as long as she manages the sick number, she generally can't find anything wrong. What the senior doctor said, how she did it, was not out of line at all, and had no ideas of her own.

She's also having a good time, unlike other dogs who are busy with doctors. If you don't fight or grab, you can be regarded as a good person in the department. If you have a sick number, you can manage it, and if you don't have a sick number, you don't want to fight for it.

Her husband's income is not bad, and there is no pressure at home. She doesn't have to think about more money and less money. It is better to have more, to do less, and to be rigid if there is no desire. In the department, he is considered a hidden person. If there is an emergency, I don't call her. She's also happy.

She currently has seven patients, all of whom are in stable condition. Conventional treatment is sufficient, and no special care is required. There was someone who helped her write the case, and of course she would be happy to do so.

As soon as she got off work, she left, and Zhang Fan still had to write the course of her illness and paste the test sheet. Sometimes I have to help other doctors do an electrocardiogram or something.

Today is Ye Jing's twenty-four hours, and Zhang Fan is very neat during the day, the course of the disease that should be recorded has been recorded, the test sheets that should be pasted have been pasted, and the tests to be opened have also been opened.

After the other doctors got off work in the evening, Ye Jing took Zhang Fan to check the ward first, and when the other doctors left, they had a critical illness number and had already greeted her.

However, three rounds a day is a dead rule. The internal medicine department is full of old patients, and they are very clear about the treatment procedures, and some of them are clearer than the transfer doctors. It is necessary to make one less round, and run to the duty room to find a doctor in minutes.

After checking the room, Ye Jing began to frown, Zhang Fan's internal medicine was not very strong, but he also saw that several patients were not in good condition.

The number of patients in the cardiology department is life-threatening by the minute. If the treatment is not done properly or delayed, the patient may not have a chance.

And there are a lot of accidents in the cardiology department, a person who was originally good, suddenly atrial fibrillation, angina pectoris, before the doctor arrived at the ward, the person was gone. There are a lot of things like this.

Therefore, doctors in the heart must have a strong heart and sharp legs and feet. You must be able to resist pressure and run fast.

Ye Jing frowned and said, "I can't be stable today, this class is not easy to survive." "In any case, the old doctor who has been in the past ten years still has vision and experience.

Zhang Fan couldn't do it, and he didn't go to the internal medicine department during the internship. I didn't transfer to the internal medicine department after work, and the system didn't open the internal medicine department. So it's a bit dazed.

"Yes! Then I won't sleep. Zhang Fan said innocently.

Ye Jing turned her head and said to Zhang Fan with a wry smile: "If it can be solved without sleeping, then it won't be a big problem." I really regret it, I was naïve and ignorant back then, so I chose cardiology. It's terrible. ”

"It's too late to regret it now. Zhang Fan thought with his mouth shut.

Ye Jingren is still atmospheric, buying food and water for Zhang Fan. This is all to envelop Zhang Fan well, so she doesn't have to do some things such as writing medical records, pasting test sheets, and handling hospitalization and discharge.

"Xiao Zhang, where is your home? Is there a target? "Zhang Fan is writing medical records, she is fine, just gossiping next to her.

"Provincial. No object yet. ”

"Oh, are you used to coming to the frontier, then you didn't talk to someone in college, I think the newcomers are all in pairs. The last time I came to transfer departments, it was a couple of young couples who came to our department together. ”

"It's okay. Zhang Fan was speechless, women are too gossipy.

"I heard that you have set a department, the department of surgery. Your surgery is good, and you will be fine after surgery. Dashing every day. ”

That's too layman's words, a third-class surgeon is dashing? That's the director or a retiree.

Zhang Fan said helplessly: "It's all about the same." It's also busy. There are many surgeries, and sometimes I can't even take care of eating. ”

"What, I see that your surgeons have dinner almost every day. I also often go to sing, and I have seen it several times, and we are in the hospital surgery. "Not to mention that she went to sing and eat by herself, but also said that others, hey!

"yes, I didn't know when I first arrived. Zhang Fan was really speechless, he didn't dare to say more, this woman was talking to death.

"You'll find out when you're decided. Internal medicine is really bad, there are a lot of things in the women's pile, and if you wear a beautiful dress, some people will make irresponsible comments. It's annoying. ”

"Oh. Zhang Fan also planned to finish the medical records as soon as possible and look at the internal medicine book, Ye Jing kept chattering, he couldn't calm down, and he made mistakes several times.

Finally, after twelve o'clock, she went to wash. Zhang Fan's ears are clear, and there are still three illnesses that have not been recorded.

Ye Jing slept in the doctor's duty room, and Zhang Fan couldn't go to the duty room to sleep. Moreover, the wards of the internal medicine department were full, and she couldn't find an empty ward to sleep in, and she didn't explain to let Zhang Fan go back.

Zhang Fan was hesitating what to do when the nurse ran in. "Hurry up, five beds won't work. What about Dr. Yip. ”

"Duty room. ”

"You go shout, quick. ”

After speaking, the nurse went to the ward. There are three nurses on the night shift, and one doctor if he doesn't change departments.

Zhang Fan hurriedly ran to the door of the duty room and shouted, "Doctor Ye, the fifth bed is not working, the nurse is here to shout." ”

Bang! bang, I don't know what fell to the ground, Ye Jing's cloak came out, and said as she ran: "I know, I know, today is absolutely unstable." You go and push the bedside ECG. ”

When Zhang Fan pushed the ECG and ran to the ward, Ye Jing had already begun to do chest compressions, and said breathlessly: "Come on, I can't press it." I do an electrocardiogram. ”

Chest compressions should be pressed down five centimeters, 100 times a minute, and the body can not be pressed. Rib fractures are the most common complication of chest compressions. How strong it is.

Zhang Fan hurriedly took Ye Jing and began chest compressions. "Cardiotonic, static push. Maximum dose, fast. ”

The family members were kicked out, and they looked inside through the glass at the door, and the fifth bed was an old man, in his sixties. The old lady was already in tears outside, and several children were holding the old man, looking forward to the doctor in the ward.

The bedside monitor started to alarm, and the heartbeat curve began to flatten.

"It's useless. Let's pull up the last ECG. Stop the rescue. Ye Jing stopped and said to Zhang Fan.

Slowly exiting the ward, there is nothing to say about the rest, the situation of the patient has been explained to the family early, and he may die at any time.

It was only a few minutes after I sat down. The nurse came again, "Nine beds!" and turned around and ran. Zhang Fan pushed the ECG machine and ran with Ye Jing.

"Nurse, Nurse, come on. My mom doesn't seem to be able to do it anymore. Hurry up. The family members of the twenty-three beds shouted.

"You go to the twenty-three beds first, and I'll go to the nine. Start with an electrocardiogram. Keep the drawings. Ye Jing instructed Zhang Fan.

Just as they were rescuing the twenty-three and nineteenth beds, the eighteenth bed was in trouble again. Zhang Fan didn't even have time to do an electrocardiogram, and the person was gone. One night, busy until dawn, I walked four at once.

Before I could catch my breath, I had to discuss the death record in the morning. Hurry up and write medical records. Complete the rescue record.

In this way, it was too late to grieve the Spring and Autumn Festival, Zhang Fan spent the first twenty-four hours in his heart.