"Here's what happened, two hours ago a 29-year-old female patient, 22 days after cesarean section, abdominal pain, was discharged from SX Central Hospital a day ago, combined with physical examination and out-of-hospital diagnosis: uterine incision infection with peripheral abscess. Dr. Zhang felt that it was a follow-up condition of caesarean section, so he assigned her to the obstetrics department for the first consultation based on experience, and after the patient and her family ran to the obstetric department, the obstetrician refused the first diagnosis and asked the infection department to see her!"

"Because the obstetrician said that there was a similar case that was hospitalized in the infectious disease department before, because the patient was in a hurry, the patient's family did not buy a medical record book, so they did not write the first medical record. So at that time, Dr. Zhang took the patient to the Department of Internal Medicine (Infectious Diseases), and the doctor there said that he would go to the Department of Surgery, so Dr. Zhang could only write the patient number as the first diagnosis of the Department of Surgery in our emergency department. Due to the delay of half an hour due to the two trips back and forth, which angered the family, the female patient's husband gave Dr. Zhang a slap at that time, but now I heard that she was detained. ”

"Because of this matter, Director Liu was furious, looking for the infectious disease department, obstetric consultation theory, after the infectious disease doctor came to check on the patient, he said that it was none of their business to be handled by the surgery department or the obstetrics and gynecology department, and the gynecological hospitalization always said that it was not for them to see!"

"But the disease of female patients is not what our emergency department is best at, and in the end, it is the obstetrician, the infectious disease department, and the gynecology department that are playing the ball again. This incident alarmed the director of the medical department, and finally the hospital office said: "Whoever makes the first diagnosis is responsible!" Because Dr. Zhang saw that the obstetrics department and the infectious disease department were unwilling to give the patient the first consultation, he could only fill in the first consultation in the emergency department at that time, so we were responsible for this black pot! "Zhou Tianlei explained.

"I see! No wonder Director Liu is furious!" Ruan Bin was also a little angry, and he was also upset for Zhang Haoyu!

"Alas~ Sure enough, where there are people, there are rivers and lakes, and there will be intrigues here. Shouldn't the obstetrics and infectious disease departments think about starting with the patient's condition? The last time a patient came, his blood sugar was not low, and there was no abnormality in the head CT scan, but Director Qian felt that it must be hypoglycemia. At that time, I was asked to be sent to the neurology department, and the neurology doctor at that time also said that our emergency department had admitted a patient with hypoglycemia to another department. But in the end, after various examinations and combined with medication, it was indeed diagnosed as hypoglycemia! Do you say you are angry?" Zhou Tianlei complained.

"Alas~" Ruan Bin sighed, not knowing what to say. It stands to reason that this patient should be seen by obstetricians. After all, it is an infection and abscess caused by a caesarean section.

Afternoon......

"Doctor, doctor, save my girlfriend!" a young man in his twenties rushed in with a girl in his arms.

At this time, Ruan Bin happened to be in the hall.

Quickly pulled a flat car over.

"Put it on!" Ruan Bin said.

The patient was a girl in her early twenties, and she was snorting in pain and weakness. As soon as Ruan Bin looked at it, he saw that the skirt was covered with blood.

"What's going on?" Ruan Bin asked with a frown.

"I ...... I, she, she did the abortion this morning. I said that I would have a painless abortion for three minutes, and I went home to rest after I finished it, but I didn't expect to wake up and find heavy bleeding, so I hurriedly sent it over!" the young man said hurriedly. At this time, he was a little trembling when he spoke, obviously panicked!

When Ruan Bin heard it, he was in a groove, it turned out to be a problem caused by not wearing a seat belt while driving!

If you're going to drive, why don't you wear a seatbelt? Okay, now it's going to be a car accident.

"Heavy bleeding? It looks like it should be a massive uterine bleeding! This is a serious problem, and if the bleeding cannot be stopped, it is very likely that the uterus will have to be removed. Ruan Bin said.

"Ah, is it such a big problem?" the young man almost frightened when he heard this.

"It's all my fault, it's all my fault, greedy for cheapness to take her to a small hospital for an abortion. Doctor, doctor, you must save her! If her uterus is removed, I am afraid that her father will break both of my legs!" the young man said and almost knelt down for Ruan Bin.

After hearing this, Ruan Bin secretly said in his heart, you don't have to wear a seat belt when you drive, and you go to a small hospital to have an abortion in order to save money, right?

I'm afraid that someone's dad will break your legs, why don't you think about this problem when you drive without a seat belt?

"Okay, let's go through the admission procedures immediately!" Ruan Bin said and the nurse next to him pushed the female patient in.

Today, there was a single matter of Zhang Haoyu, and he planned to ask Director Qian whether the woman was sent to the obstetrics department or his own emergency department.

"Director Qian, this female patient is bleeding heavily after the abortion, I guess it is uterine hemorrhage, do you think she will be sent to the obstetrics department immediately?" Ruan Bin asked Director Qian.

"Well, send it!" Director Qian said without thinking.

"What to send! Isn't it just a small uterine artery interventional embolization operation? Old Qian, you are the only general practitioner in the emergency department! You don't do it, I will do it! What to send to the obstetrics, let them die poor! To be honest, I want to have a plug-in now, so that all the people in our emergency department are general practitioners, and let the doctors in other departments starve to death!" At this time, Liu Junchi didn't know where to come from, and said loudly.

Although Liu Junchi is not a general practitioner, as the deputy director of the emergency department, he understands not only general surgery, but also many other surgeries.

As for Director Qian, he is the only general practitioner in the emergency department!

In fact, Ruan Bin also knows that although he is a general practitioner, people's energy is still limited, maybe Director Qian can do all the surgeries, but definitely not all the surgeries are very skilled!

"Lao Liu, I know you have complaints about obstetrics now, don't be angry! I'll do this surgery. You're in a bad mood today, so try my best to do the third or fourth level surgery. Director Qian knew at this time that Liu Junchi had a great opinion on obstetrics at this time because of Zhang Haoyu.

This is human nature, and he also knows that Liu Junchi is a short-tempered person, so he doesn't dare to hand it over to Liu Junchi for surgery now, in case he manually stabs the patient because of his bad mood. So I gave the other party a face and took the operation!

Liu Junchi saw that Director Qian gave him a face, and it was not easy to continue BB, so he said: "Okay, I'll go to Zhang Haoyu to talk to him." ”

With that, Liu Junchi left.

"Ruan Bin, you push that patient to the operating room, and you will also come to be my assistant. Today I am doing this is uterine artery interventional embolization surgery, you can also learn to learn. Interventional surgery is generally the work of the interventional department, but this kind of surgery is actually very useful and practical in our emergency department! It has a very significant and rapid effect on the first aid of arterial hemorrhage. Director Qian said.

"Good. Ruan Bin nodded. At this time, he suddenly had an idea, Lao Tzu must be a general practitioner in the future!