Chapter 140: Xu Ze's joke

Director Qu was full of excitement and gave the mobilization order to his subordinates, although the other two doctors, Wu Yue and Li Yuqing, were not there, but Director Qu believed that they knew about it, and they would be extremely excited and happy.

Because for these doctors with relatively young seniority, if they can put a name on the author of such a national paper, it will be extremely important for their future promotion. Compared with the provincial papers that need to be promoted to practice, they will not be worth mentioning in front of the papers of this level, which is enough for them to have no problems from the attending physician to the deputy chief physician, and even the chief physician, such a thesis is enough.

Moreover, if they can apply for a research project at or above the ministerial level this time, then several doctors in the Department of Emergency Medicine can occupy a place in it, which is enough for them to take more benefits from other people in their future development.

As for Director Qu, it is needless to say that if he can lead a ministerial or national-level project, he is a top-level expert in a certain field in China; If this project is successfully declared and the corresponding results are obtained, it means that he has stood at the top of this field in China and has been recognized by everyone.

In layman's terms, it is to jump directly from the so-called well-known experts to the ranks of the top famous experts... Director Qu was excitedly preparing to rearrange the treatment plan for the patient, and remembered that the medical records were not in his hands, so he immediately said to Qian Xuebin: "Xiaoqian, have the medical records been written?" ”

Qian Xuebin suppressed his excitement, looked at the medical records in his hand, and hurriedly replied with a smile: "Director, it's going to be soon..."

"Hmm... Okay, be quick..."Director Qu nodded and urged.

But as soon as he finished speaking, he remembered something again, and then said, "Forget it... Xiaoqian, you went to get a medical record book, and the patient was handed over to me to take care of it personally, so it was more reassuring! ”

Hearing this, Qian Xuebin was stunned, but it was as if he had been poured a basin of cold water, because if this patient was in his hands, then his future results, his ranking and the benefits he obtained would only be second only to Director Qu, and before the other two doctors.

But if this patient is personally managed by Director Qu, then his future credit will be much smaller, and he will definitely be ranked last with his qualifications.

However, since Director Qu said that he was in charge of it personally, Qian Xuebin had no room for objection, if this patient's abnormality was discovered by him, then even Director Qu would be embarrassed to take away his management rights, but now Director Qu took his management rights for granted... After all, everyone puts their hopes on this patient, if there is a leak, no one will be willing, and everyone will feel at ease if it is managed by Director Qu, who has the most experience and the best skills.

So Qian Xuebin had no choice but to hand over his patient to Director Qu for him to manage and arrange a new treatment plan.

After Director Qu got the new medical record book, he began to rewrite the doctor's order, but he looked up from time to time to discuss the treatment plan with Xu Ze, after all, in his mind, Xu Ze seemed to have a deeper understanding of the situation about Guillain-Barré syndrome than him.

Xu Ze is naturally very good at this, after all, he is the most clear about the standard treatment plan for the entire Guillain-Barré syndrome, so in the discussion with Director Qu, he will occasionally put forward some supplementary opinions that surprise Director Qu.

At this time, unconsciously, Director Qu regarded Xu Ze as a doctor of the same level as himself, and discussed some treatment issues.

Although he didn't know what the specific effect of Xu Ze's opinions was, these things that came out of Xu Ze's mouth at least seemed to be very reasonable, and it was impossible to imagine anything wrong, and some of them were something he hadn't thought of... At the moment, Director Qu paid more and more attention to Xu Ze, and secretly said that the young people nowadays are really open-minded, much more flexible than old guys like themselves, and from a disease and treatment principle, they can come up with so many alternative treatment methods... After the two discussed the treatment plan, Director Qu immediately prescribed the doctor's order, still in accordance with the basic principles: plasma exchange and globulin anti-immunotherapy... Looking at the doctor's order at hand, Director Qu carefully checked it again, but in the surprised eyes of Zhang Qi and Qian Xuebin, he handed the medical record book to Xu Ze and looked at it, and said with a smile: "Xu Ze... Is there anything else you think you would like to add? ”

Xu Ze chuckled and shook his head, he had reminded him vaguely from the side, with Director Qu's level, of course there would be no more problems.

Seeing Xu Ze shaking his head, Director Qu smiled with satisfaction, and then handed over the medical record to the nurse for execution.

Since Director Qu has given the order, and this matter is related to the interests of everyone, every doctor will not slack off, Director Qu is naturally relieved, and after seeing that the time is almost noon, he smiled and said, "Forget it... Zhang Qi, you haven't eaten yet, have you... Let's go out to dinner together, I'm in for a treat! ”

After having lunch with Director Qu and Zhang Qi, in addition to Zhang Qi going back to rest and preparing to take over the night shift, Xu Ze and Director Qu returned to work in the office at half past two, at this time the patient had already begun to undergo plasmapheresis treatment, although everyone knew that it would be at least the next day before there would be some effects, but both of them were still full of hope, and they always went to the ward to see if they had anything to do.

In the afternoon, from twelve o'clock to half past five, it was Qian Xuebin's class, and the patients who came generally received it by Qian Xuebin, but when they were busy and couldn't win, they were collected by Director Qu of the main class.

Qian Xuebin was hit today, and his spirit was not very good, but the more his spirit was not good, the more the patient liked to come, Director Qu and Xu Ze accepted a patient in the morning, and since the three of them went out to eat, Qian Xuebin alone has already accepted three patients.

Just as he was busy prescribing the third patient's medical order, another emergency patient was sent at this time, and there was no way, so Director Qu took Xu Ze to deal with the patient.

At this time, Director Qu was already very relieved of Xu Ze, and after he looked at the patient twice, and found that it was not particularly serious, he handed the patient over to Xu Ze to deal with.

Xu Ze was naturally happy to have a patient to deal with by himself, and the purpose of his coming here was just to exercise himself and expand his horizons.

This patient is a patient with abdominal pain, who seems to be in his thirties, and has been reporting abdominal pain for a few days, and the abdominal pain was not serious at that time, so he didn't pay much attention to it at that time, but who knew that the abdominal pain has been getting worse and worse recently, and he has started to vomit. Since noon today, the pain has been unbearable, so I came to the emergency department.

Xu Ze did an examination of the patient, and found that the patient now has tenderness in the whole stomach, and mainly in the right lower abdomen, by pressing the appendix point, it was found that there was obvious tenderness and rebound tenderness, and he couldn't help frowning at the moment, the patient had abdominal pain and vomiting, and there was obvious tenderness and rebound pain in the appendix area, I was afraid that it was appendicitis, so he immediately prescribed the patient with blood routine and appendix B ultrasound and other examinations for the patient to do.

After waiting for half an hour, the patient's results were obtained, and there were 15,000 white blood cells on the blood routine, and 85% of them were granulocytes; However, B-ultrasound showed that there was a shadow area in the appendix area, and it was considered that purulent appendicitis was possible.

Looking at the results in his hands, Xu Ze is sure that he has suppurative appendicitis and must be surgically treated. It's just that he was stunned when he took the result, this is right to be in the operating room, but this patient is in the emergency department and must be transferred to the abdominal surgery department for surgery.

After explaining the situation to the patient's family and saying that he was going to be hospitalized for surgery, the patient's family hesitated for a moment, and saw that Xu Ze said it with a resolute face, knowing that this operation was unavoidable, so he had to agree at the moment.

Seeing that the patient's family agreed, Xu Ze did not know how many floors of the abdominal surgery department with one attachment was on the inpatient department, and it was not clear what the procedures and procedures for this transfer were unclear.

Director Qu was on the computer in the office at this time, checking the information about Guillain-Barré syndrome, and after hearing Xu Ze's words, he was stunned for a while, but he laughed out loud.

Finally, he looked at Xu Ze, who was depressed, helplessly, and smiled: "Xu Ze... Your clinical experience is still good, but why don't you understand this? This is a surgical patient, you look like a surgical patient, and the first thing you should do is to hand the patient directly to the emergency surgeon on the other side and let them deal with it..."

"Forget it, since you've seen it all, just open the hospitalization notice, let the patient go through the formalities, tell the nurse directly, and let them send someone to the fifteenth floor of the surgery..."Director Qu chuckled and shook his head, then took out the hospitalization notice, opened it and handed it to Xu Ze, and asked him to hand it over to the patient's family to go through the formalities.

Zhang Qi and Qian Xuebin next to him could hear Director Qu's words at this time, but they also chuckled in a low voice, although this Xu Ze seems to have good clinical experience, but he really doesn't know the specific rules of the hospital, and he really doesn't know where this little monster came from.

And Qian Xuebin laughed secretly in his heart, this guy doesn't seem to understand the rules of the hospital, and it seems that Director Qu is extremely hands-free to him, and lets him do everything alone, so I can't say what leaks will happen in the future, let's just wait to see the jokes, if there is really a big joke..."Hehe..." Thinking of this, Qian Xuebin couldn't help but laugh.

Figuring out the routine, Xu Ze also laughed a little embarrassedly, secretly annoyed that he didn't want to do anything and made such a joke... However, this is also a matter of habit, as a super medical soldier, when training in the virtual space, he can see and treat any disease, whether it is stomach pain or stitch debridement, it is all himself, where is there any medical and surgical treatment.

When I was in the clinic, I always took responsibility for a patient to the end, even if I considered appendicitis, as long as it was not serious, I would give the infusion first, but I didn't remember that I was in the hospital now, and there was a specific distinction between medicine and surgery, but I did the surgical things together.

At the moment, he blushed a little and took the formalities, handed them over to the patient's family to go through the formalities, and asked them to go directly to the nurse after completing the formalities... However, I don't know how nurses and emergency surgeons will laugh if they know this...