Chapter Thirty-Four, Going to Work
Going to work should be the keynote of most people's lives. The difference is the type of work and the length of working hours.
Some people work in public companies, some work in private companies, and some start their own businesses.
Some people work eight hours a day, some people are busy until dark all day, and it is common to work overtime!
The ultimate purpose of going to work is to make a living, and sometimes it is a time to be raised to serve the people.
I don't know if it's really serving the people or a slogan? This is easy to ignore! At least Li Qi didn't dare to pursue it!
There is a salary when you go to work, and wages are money, no matter what job you go to, there is a more or less stack of banknotes in a month!
The amount of income is closely related to the type of work, and has little to do with the working hours!
The so-called more work is just a person who deceives the dead force! In fact, it doesn't matter if the person who is dead can cheat or not!
At first, they only asked for food and clothing, but now they only ask for support for their old age on the basis of food and clothing, rarely read books, and can afford to take medicine when they are sick! Why bother fooling them!
Li Qi also goes to work, and today he will officially go to work in the B-ultrasound room of Little Nanjing Hospital.
Since the expiration of the study period, I have been released from prison! Li Qi only rested for more than two days, and was pulled back by his eldest brother Dean Li in less than three days!
Li Qi also plans to enjoy the scenery of nature! That's good! After a few lazy sleeps, and after a few nights, I will have to carry out labor reform again!
Brother's life is hard to disobey! With the warm welcome of his colleagues, Li Qi started to work!
The ultrasound room is also an electrocardiogram room, and it is also a lithotripsy room. It's a multi-purpose department, but it's a bit small! Just Li Qi and Zhou Xiaohong.
It's just two people, and they're both officials! Li Qixi is the director of the B-ultrasound room, and he is a single! No rights, no benefits!
Zhou Xiaohong is the director of the lithotripsy department! It is Comrade Li Hongqiu's wife, a native of the provincial capital, wearing a pair of glasses and speaking Mandarin!
What do you say about appearance? Throw her in the crowd and you won't be able to find her! It's not outstanding or bad, it should be said that it's normal!
Li Qi and Zhou Xiaohong have known each other for a long time (if I don't tell you, they have known each other for more than ten years)! The two sides don't need any handover, put on a white coat and hang a badge to go to work.
To tell the truth, Li Qi is very comfortable at work, going to work at 8 o'clock in the morning, leaving work at 12 o'clock at noon, taking a two-hour lunch break, and getting off work from 2 to 6 o'clock in the afternoon! Typical eight hours.
If someone comes to check, you can do things, if no one comes to check, you can rest, you can drink tea, you can chat, you can read a book, and you can play with your mobile phone! There is also air conditioning, cool in summer and warm in winter! Comfortable!
To tell the truth, Li Qi is very uncomfortable at work! I was alone when I did a B-ultrasound ECG, and I disappeared even on Saturdays and Sundays! A phone call is all it takes!
Especially how depressing it is to crawl out of the bed late at night! Especially a few good friends, it is not easy to get together but have to leave, how embarrassing it is!
Especially when you are making out with your girlfriend but are interrupted, how angry it is! Uncomfortable, right? This is the practical experience of the next ten years!
Li Qi himself knows that there are two sides to everything! Only when there is yin can there be yang, and solitary yin does not give birth to solitary yang.
There are good and bad, and if there is no bad, you know the value of good. More and less, long and short, cold and hot are all relatively unified and harmonious!
Well! Only self-regulation can lead to a happy life and a happy work!
If according to history, Li Qi should feel novel and excited to go to work at this time! In the end, I should be a little nervous and excited to go to work alone!
But in reality? It's the second time! I have been in class for more than ten years, and I am an old fritter! Naturally, there is nothing new, excited, uneasy! Who can tell between gains and losses!
Wei'er also goes to work today, and she is in the inpatient department on the third floor.
The ultrasound room is on the second floor, and there is also the dean's office, laboratory, and treatment room on the second floor!
On the ground floor are a pharmacy, an outpatient department and a canteen.
There is also a medical office and a duty room outside the inpatient department on the third floor, and the hospital is small and does not divide specific departments such as internal and external women and children, which can be regarded as general medicine!
The fourth floor is the operating room, and the fifth floor is the warehouse and several vacant rooms, including one of Li Qi's houses! What is the status quo of Little Nanjing Hospital!
Li Qi didn't go up to the third floor, there were not many nurses on the third floor, and they were divided into three shifts in the morning and night, all of which were very busy!
In the B-ultrasound room on the second floor, you can hear the chaos upstairs! Especially when there are many infusion patients and preparing for surgery, I can only hear the sound of the building knocking non-stop!
Just listen to the sound and know it's been a busy day! It's not easy to disturb yourself!
Li Qi saw that the time was almost ten o'clock, but he hadn't started to do a check yet! It's just over in a cranky thought!
Xiaohong has used a lithotripsy machine to treat a patient, who has a stone in the lower part of the right tube! Crushing stone with a lithotripsy machine is a complex treatment!
The first thing to do is to confirm the diagnosis of stone disease, which is divided into hepatic gallstones and urinary stones.
And the lithotripsy machine is only effective for urinary stones! Hepatic gallstones can currently be expelled by medicine and surgical stone removal. There are also open surgery and Vitron surgery.
Lithotripsy machines are not all suitable for urinary stones!
The urinary system has left and right kidneys, left and right ureters, bladder and urethra. Stone disease can occur anywhere!
In the case of Little Nanjing County, 90 percent of people have 3 to 6 mm stones in both kidneys. Generally, kidney stones are not recommended to use a lithotripsy machine to crush stones! It's so broken and not easy to drain!
Ureteral and bladder stones are fine, and they work great! But there are also those that can't be broken!
There are several cases that are not good for lithotripsy, one of which is severe hydrops in the kidneys, liver and kidney insufficiency.
Second, the stone is too large, more than 30 mm.
The third is that there are serious parenchymal functional lesions, such as heart disease, diabetes, hypertension, epilepsy, etc.
After the stone disease is diagnosed, the laboratory test should be done within the range that can be broken, and if the inflammation is too high, the hospital will be hospitalized to reduce the inflammation, and if there is pain, the pain will be relieved first.
The next step is B-ultrasound positioning, to clarify the location and size of the stone! It only starts to crumble after positioning.
The stone crusher is a crushing knot after the radio wave vibrates through the water bladder! It's not that the stone disappears! A stone is shaken into two sides, four pieces, eight pieces or powder! Naturally, it will be excreted with urine!
About 3,000 times in about 40 minutes, which is related to the size of the stone and the strength of the electricity!
During the stone crushing period, the patient will be asked to relax, which is still a little uncomfortable! The psychological effect is also very important, especially in the case of holding urine!
After the crushing is done, I will use B ultrasound to see the state of the stones! Under normal circumstances, the stone is significantly larger! Because it was shattered, the volume naturally increased! This is meant to have an effect! It doesn't work very often!
After the procedure is completed, the patient will be told to go home and drink more boiled water, Chinese medicine and anti-inflammatory drugs, and have a follow-up examination in a week! Drinking more boiled water to increase urine output will make stone removal faster, taking some Chinese medicine will have a better treatment effect, and taking some anti-inflammatory drugs can reduce urinary tract damage!
Doctors are important! Treatment is key! The cooperation of patients is the relationship with the healing and effect!
The B-ultrasound room and the lithotripsy room are together, so that Li Qi has seen more patients with lithotripsy! Reactions were mixed!
There are those who are relaxed!
There are those who cry out loud!
There are those who have eyes that are as open as bull's eyes!
There are also those who fall asleep!
There are several advantages and advantages of stone crusher crusher!
First, it is less painful and can basically be said to be painless lithotripsy.
Second, the cost is small, compared with the operation of tens of thousands, and the cost of lithotripsy is 480 yuan.
Third, the effect is good, and the effect is immediate, and the lithotripsy can be filtered out from the urine after the lithotripsy.
Fourth, the damage to the human body is small, and there is nothing else except for the tremor.
Fifth, the treatment can be repeated many times, the stone is bigger, and then broken after a week, and there are those who have not been discharged, and then broken in half a month! In the future, the same patient can be treated again if the kidney stone is discharged into the lower urinary tract (including ureters, bladder, urethra) and causes obstruction! Just as effective!
Sixth, it is convenient and fast, compared to surgery and drug stone expulsion! Yes, everyone knows the choice!
At this time, the introduction time of the stone crusher is short, and it needs to be explained and advised!
After a few years, stone patients in small counties and surrounding towns have consciously come to lithotripsy! It will also cooperate with medication and drink plenty of boiled water! At this time, it has become a habit to treat stones with a lithotripter!
Little Nanjing County is a high-incidence area of stone disease and a hard-hit area! This is related to the environment, water quality and dietary habits. Non-human can change, and Li Qi can't help it!
Li Qi stretches his willow waist! It's finally time to get off work! At the end of the day, I only did four B ultrasounds, and one hepatobiliary B ultrasound in the morning, a little mild cholecystitis, and there was no mass in the liver.
Lunch is served in the cafeteria, and lunch break is served in the ultrasound room. Wei'er is busy in the operating room and eats fast food, so she can pay for it in the hospital! No matter how bad it is, just put up with it!
In the afternoon, 3 B-ultrasounds, 2 for the urinary system, and 1 for the son/uterus/appendage. No obvious problems were found.
The auxiliary inspection is like this, it is not necessary to find the problem, the main thing is to eliminate the problem! Of course, more often than not, the doctor has already diagnosed, and the auxiliary examination confirms the diagnosis!
The source and the key are in the hands of the doctors! What is your level of medical care? Look, hear, ask, listen, touch, knock, and so on!
This has to accumulate in normal times! To grind! Be proficient! To be a doctor, you have to be diligent and diligent! Being a doctor is a joy!
In Li Qi's mind, there are two professions that are the most glorious and sacred! It's doctors and teachers.
Doctors can relieve or alleviate a person's pain and treat diseases! Teachers can teach people to use knowledge to open up people's wisdom and cure ignorance! Spread culture and civilization, so that mankind continues to progress! Both!
Li Qi always felt that he was much more noble than those lawyers and officials!
I often hear that teachers can't pay salaries, which makes people feel chilled, a country and a nation don't even want education and civilization inheritance! What's going on?
What went wrong there?
Who wants to shake the foundations?
His heart and his deeds can be punished!
The doctor-patient relationship is particularly tense right now! Cure should! If it's a little bad, then I'm sorry to trouble you without negotiating!
If there is a medical accident and someone dies, this is a big trouble, and the compensation for beating people and making trouble is all here! Health care workers have become vulnerable! What's going on?
Want to make doctors afraid to treat patients!?
Want to make medical staff afraid to save patients?
Who can guarantee that you will not get sick?
Who can not die!
Personally, I think that the heart of the doctor is the parents! There is no doctor who does not want to cure the disease! No doctor wants to cure you!
Why so aggressive! Let the doctor be at a loss and frightened!
Doctors have medical ethics, our principles and bottom line!
Why should medical ethics and principles be the source of fear for doctors?
Medicine can cure diseases, but it can't save lives! Saving lives cannot be 100 percent! Otherwise, there would be no dead in this world!
Some people will say that obvious human mistakes should not be pursued! Naturally! There are clear provisions, in accordance with the relevant laws and regulations! Who would say half a word!
O man! Be more empathetic! It's just too easy to talk about it! It's a bit hard to do!
After work, it is to take off the work clothes and go home! From now on, it's up to you to do what you want!
You can go to sleep! You can go shopping! You can go to the Internet codeword! It's possible to date a girlfriend! You can go play cards! You can do nothing!
After work, the spirit is no longer nervous, and it is no longer limited to one area! No more dictates what you do or don't do! As long as you don't break the law and disturb other people's lives!
Li Qi realized how wise and martial he was when he didn't agree to the real person's decision to come forward! Otherwise, if you want to go to work quietly, you can't get off work!
Li Qi has always believed that a quiet and peaceful life is happiness!
Who said that you have to be vigorous to prove that you have existed? Life is not love!
Who says success has to be well-known? You have to have this ability, too!
Li Qi never thought of himself as the Monkey King! The supernatural powers are not vast! No mana! Nothing has changed!
Even if it's a little bit of money, the money hasn't arrived yet! Don't show it off! Real people never show their faces! Only the ignorant know everything!
A drunk person never admits to being drunk! Only sober people say I'm drunk!
It's time to get off work! I'm drunk too!