Chapter 9 Stepping into a new role
In July 1989, Xia Wei graduated from Nanyang Health School, and her homeroom teacher wrote her a letter of recommendation and asked her to bring it to the county health director. The director is a classmate of the homeroom teacher, and Xia Wei had this letter of recommendation and could have stayed in the county to work. However, through the relationship, Xiao Lu insisted on assigning her back to the original obstetrics and gynecology department of Huhu Health Center and became an obstetrician and gynecologist. Xiao Lu was afraid that Xia Wei would mention the divorce again, and he also wanted to stop her from communicating with Wang Tao, he thought that as long as Xia Wei was by his side, his marriage could be saved. Because Xia Wei is no longer a zero-hour worker, but a veritable obstetrician and gynecologist. Including Xiao Lu's family, they are also impressed by Xia Wei.
Xia Wei still remembers the scene when Xiao Lu showed his family the admission letter for the health school, only to see the eldest brother looking at Xia Wei in surprise, and her mother-in-law was muttering: "She can also be admitted to the health school?" All right! All right! ”
Working as an obstetrician and gynecologist in a primary health center is very busy and hard work, not only to do the work of a doctor, but also to do the work of a nurse. Often the day shift is accompanied by the night shift, especially the night delivery, the child is delivered, and the gloves must be taken off immediately to inject oxytocin into the patient, and sometimes the mother needs to be catheterized. The slightest mishandling of a person's shift can put the mother's and baby's lives at risk. Therefore, in the first half of the night, I will ask the doctor or nurse on duty on the day shift to come and help.
In addition to normal delivery, the obstetrics and gynaecology department also conducts gynecological and obstetric outpatient clinics and family planning surgeries. The day shift is a maximum of two people.
On this day, it was Xia Wei's first day of work, and Dean Qin led Xia Wei to the Department of Obstetrics and Gynecology, where there were many women waiting for treatment. Section Chief Xiao was listening to the fetal heartbeat to the expectant woman in the ward, and Dean Qin was at the door of the ward, and saw that Section Chief Xiao was busy, and said, "Xiao Xiao, this is the newly assigned Doctor Xia Wei, you can take her to familiarize herself with the working environment first." ”
"Okay, you go get busy first."
Dean Qin smiled at Xia Wei and said, "You can get acquainted with Dr. Xiao first." With that, he hurried away.
Xia Wei came to the ward, and Dr. Xiao said, "Don't come here, go to the outpatient clinic to deal with the patient first, and I will be here here." ”
Xia Wei was a little at a loss and said, "Then I'll deal with the patient first, you will come over later, I don't know what medicines can be prescribed yet." ”
"It doesn't matter, just look at the list of drugs pressed under the glass on the desk, there are commonly used drugs in obstetrics and gynecology, and pharmacies have them." Dr. Xiao is still busy.
Xia Wei came to the outpatient clinic and sat down at the desk, all the patients flocked in, Xia Wei took a copy of the outpatient medical record and shouted: "Liu Qiaomei sit down, everyone else will go outside and wait." Then he got up and arranged the women to sit down in chairs in the hallway, turned back to the examination room, and closed the door casually.
"Qiaomei, what's wrong with you?" Xia Wei picked up the pen on the table and prepared to record.
"I haven't had a period for more than 40 days, and I don't know if I'm pregnant."
"Are you married? What day did your last period come? Xia Wei began to record.
"I'm married, I'm not pregnant, I'm about to have a child, and my menstruation came on the second of last month."
"Oh, you go take a pee test first to see if you're pregnant." Xia Wei handed over the written test sheet.
The woman left with the test sheet, and Section Chief Xiao followed in and said, "Xia Wei, you can be busy by yourself, no one has time to take you to work, explore slowly by yourself, we all came here like this." ”
As a result, Xia Wei will be very nervous when she is working, and she can only rely on a little experience from the internship to work independently. Xia Wei carries the book of obstetrics and gynecology with her, once she encounters difficulties and does not know how to deal with it, she will quickly consult the relevant content when the patient goes for the test, she does not dare to relax herself after work, she will read the book over and over again, never let go of every detail, and the work is quite handy.
Since she saw two maternal deaths in Section Chief Xiao's class within a month, Xia Wei didn't dare to be calm. She dreamed again and again of the pale and colorless face of the deceased mother due to postpartum hemorrhage, the blood-covered ground, the inaccessible delivery room, and the scene of the mother's family chasing Section Chief Xiao with kitchen knives.
Xia Wei was afraid that such a thing would happen in her class, and the lack of knowledge and experience made her panic. The death of two mothers in one month shocked the city and province. At this moment, the city will select an obstetrician and gynecologist with a strong sense of responsibility and who can stay at the grassroots level in the township health centers in the city to study in the city's tertiary hospitals. The Health Bureau gave Xia Wei this opportunity, and since then, Xia Wei has become an obstetrician and gynecologist in a tertiary hospital in the city. At the beginning of the training, obstetrics and gynecology experts from the tertiary hospitals were arranged to come to the training center to explain and train the trainees theoretically and clinically, and then disperse the trainees to the obstetrics and gynecology departments of the tertiary hospitals for clinical training.
When Xia Wei came to the big hospital, she felt like a dry land in need of moisture, and she was eager to learn from the experience of the teachers, not missing every opportunity to do it. She is highly motivated and loved by her teachers.
The teacher saw that she was so hard and serious, and the delivery was also very good, so he said to her: "Xia Wei, I heard that most of you don't do EP incisions in the countryside, is it true?" ”
"Yes, we usually only have one person on duty, and if we see that the perineum conditions are good, we will not cut it."
"Will there be lacerations?" The teacher is still asking.
"Generally, there will be no perineal lacerations in good perineal conditions, and we usually give birth like this." Xia Wei said confidently.
"Can you give us a walkthrough?" The teacher continued to ask.
"Teacher, are you saying that I will not have to do an EP incision?" Xia Wei was a little puzzled.
"Yes, you can give everyone a drill, get ready, and the maternity is up to you."
"Okay, thank you teacher for trusting." Xia Wei said excitedly.
In a tertiary hospital, no one dares to deliver without an episiotomy without absolute certainty, and there is no precedent for such a delivery. At this time, the teachers gave this precedent to Xia Wei to do, which was a kind of trust in her. Although she has had countless experiences in such deliveries, Xia Wei is still very cautious about this delivery.
The first is to select the women who are suitable for this condition, especially the perineal condition must be good, and the second is the technique of protecting the perineum during delivery, as well as the period of maternal exertion must be accurate. During the delivery drill, Xia Wei successfully delivered the fetus without episiotomy, and the maternal perineum was intact. It was the first case in this tertiary hospital, and the teachers all smiled with satisfaction. The teachers said that they still did not dare to take risks, because the hospital is very strict with doctors, and they do not have so much practical experience to verify themselves, so they can only make every pregnant woman suffer a knife.
Xia Wei thought that she had the opportunity to practice at the grassroots level, and as long as she could do it boldly and carefully, she would definitely become a good doctor.
The days of further study, although intense, are not lacking in romance.
During the break, Xia Wei bought a few steamed buns in the dining room with her fellow study partners, went to the street to buy a few unjust eggs and put them in a lunch box, washed a cup of cold boiled water, and went to Meihua Mountain in the suburbs to play. In the plum garden, they played to their heart's content, sang to their heart's content, and chased to their heart's content. When you are hungry, you sit on the grass and eat a few steamed buns and eggs, and when you are thirsty, you drink a sip of cold boiled water, so comfortable and leisurely. At this time, Xia Wei remembered Wang Tao, back then, it was also in the plum garden, and the scene of Xia Wei and Wang Tao chasing and frolicking appeared in front of her again.
Wang Tao asked Xia Wei: "Why are you jumping around like a child?" ”
Xia Wei said: "I'm happy, so many plum blossoms, how beautiful, if I want to use a pen name in the future, I will call it plum." ”
"Haha, I see, you like plum blossoms so much." Every time she thinks of this, Xia Wei will snicker alone.
In the evening, Xia Wei bought a postcard, drew a stroke in the blank space in the postcard, and then wrote a blessing: I wish you good sailing, health and peace! It was sent to Wang Tao.