Chapter 360: Aggravation of Illness
At noon, Su Hongwen went home and ate a bite of food, slept for a while, and went to the hospital at two o'clock in the afternoon, the city hospital is not like the deputy shift of Huanggu County Hospital, you can not go, the doctors here have to come in the afternoon except for the night shift or the night shift, and they can't be idle, after all, this is a city hospital faces a lot of disease sources, unlike a county hospital where there are not many disease sources, and it is basically enough to leave a doctor in the afternoon.
Su Hongwen is the most idle doctor in the department, because he has one patient left, or after surgery, but Yu Yong is estimating that he will not be idle for long, and he will have to give him any patients who are not easy to manage in a while, of course, it is also for Lu Baoliang, after all, it is still Lu Baoliang with Su Hongwen, but this situation will not be too long, it is estimated that in two days Lu Baoliang will announce in public that Su Hongwen can manage patients alone.
He can even do gastric perforation now, and he can also judge that those small things in the stomach are cancerous, and it took four minutes and eight seconds to do the appendix, just for these two points Lu Baoliang also has the confidence to support Su Hongwen to manage patients alone and work the night shift, after saying that Su Hongwen's procedures are also complete, he has all the medical practitioner qualification certificates and attending physician certificates, Huang Honghe is still handling the title of deputy chief physician for him, and it is estimated that he will be able to come down next year, of course, Su Hongwen still has to take the exam, but this exam is much easier, there are two papers Su Hongwen, There is also a successful scientific research, and it is a scientific research achievement that may win the Nobel Prize in Medicine, and the Ministry of Health of this province will make an exception to mention him as the deputy chief physician.
If Su Hongwen can really get the deputy chief physician next year, then he will be the youngest deputy chief physician in Huaxia, and there is no one.
Because the title of deputy chief physician is not something you can take if you want to. It is necessary to limit the number of years of experience, take the undergraduate graduates as an example, from the time they get the occupational physician qualification certificate, they are eligible to take the attending physician examination after four years of work, and they are eligible to take the deputy chief physician examination after five years.
The undergraduate degree in medicine is one year longer than other majors, and it is a five-year program. In this way, the students who graduate are generally around twenty-four years old. Of course, except for those who go to school early, after ten years, they will be thirty-four years old, which has to be said to be smooth sailing, and many people will not be able to get the title of deputy high school when they are forty or fifty years old.
Both the resident and the attending physician are very easy to examine. Just review it carefully. However, in addition to the examination of professional courses, the deputy chief physician must also have papers and scientific research results published in national medical journals.
China is different from European and American countries. A doctor is a doctor, and few people do any scientific research, so it is difficult to get scientific research results. Therefore, many people can't get the title of deputy high school after working all their lives.
But Su Hongwen is a special case, when he left Shashi, Xia Yufeng found a relationship to get him an attending physician in order to compensate him, and now he has created a new surgical method, relying on this, the provincial health department will open the door for him, so that he can get the title of deputy high school when he is in his twenties.
Therefore, Su Hongwen will become the youngest deputy chief physician in Huaxia, and there is no one yet, and this qualification alone can make the eyes of medical colleagues red.
And with this qualification, Su Hongwen's promotion path is much faster than that of ordinary doctors, and now Liu Jindong is still there, once he is brought down, Lu Baoliang has mastered the power of the general public, and he is very willing to promote Su Hongwen to let him sit on the throne of deputy director, and then wait to take over his class.
Liu Jindong didn't want Lu Baoliang to sit firmly in the position of director, so he naturally made it difficult in every way, Yu Yong, who was hospitalized, was always Liu Jindong's pioneer, and he would hand over the most difficult and difficult patients to Lu Baoliang and Su Hongwen.
Yu Yong was waiting for this opportunity this afternoon, some of the patients who came were very good at managing him and distributing it to others, he was waiting for the arrival of the difficult patient, but before he could wait, Fu Yuejin ran in, as mentioned above, Su Hongwen received a patient with acute intestinal obstruction on the first day of work called Fu Guangcai, Fu Yuejin is his son, and he was also the one who made trouble with Lu Baoliang at the beginning, and did not let Su Hongwen manage Fu Guangcai.
As soon as Fu Yuejin came in, he hurriedly said, "Doctor, go and see my father, he suddenly hurts so much." ”
Although Fu Yuejin is not a patient managed by Su Hongwen himself, he is still following Lu Baoliang, but Fu Guangcai is a patient managed by Lu Baoliang, so Su Hongwen naturally can't sit idly by, he hurriedly walked to the ward, and Fu Yuejin was afraid that Su Hongwen would not look good when he was young, so he went to the director's office to find Lu Baoliang again.
After Su Hongwen came in, he checked Fu Guangcai and knew that the matter was bad, the patient's pain intensified, the abdomen had seen intestinal peristalsis, and the intestinal sounds were very hyperactive, all of which showed that his intestinal obstruction was not only not relieved, but more powerful, and now the best way to do it is to operate, open the abdominal cavity to see the situation of the intestine, if there is necrosis, it must be removed, if there is no necrosis, the obstructed intestine will swim away for intestinal decompression, so as to achieve the purpose of dredging the intestinal tube.
Thinking of this, Su Hongwen hurriedly went out of the operating room to notify the patient to come up to see the patient, and he had to have surgery, at this time Lu Baoliang also came, and when he saw Su Hongwen hurriedly walking out, he immediately said: "What is the situation of Xiao Su's patient?" ”
Su Hongwen frowned and said, "The situation is not optimistic, I will operate immediately." ”
Fu Yuejin was anxious when he heard this, and said angrily: "Don't talk nonsense when you young man, my dad was fine yesterday, but today he is in a bit of pain, can he need surgery?" "Obviously, Fu Yuejin still doesn't trust Su Hongwen, there is no way that Su Hongwen turned the tables this morning, and the media hasn't reported on him yet, so the people still don't know Su Hongwen's name, if you wait a few days, Fu Yuejin won't have the attitude he has now, this is the benefit of being famous.
Lu Baoliang said to Fu Yuejin: "Don't get excited, I'll go in and see what I'm saying." And with that, he went in.
Su Hongwen didn't go in, he still went to call, he had already seen the patient's situation, even if Lu Baoliang saw it, it was an operation, there was no other way, now the risk of conservative treatment is too great, once the patient's intestinal necrosis rupture, it will be troublesome, and Fu Guangcai's life will not be saved, because once the intestinal tube is necrotic, the intestinal wall is very likely to rupture, once the fecal mass and intestinal fluid in the intestinal tube enter the abdominal cavity, it will cause acute peritonitis in a short time, and this severe infection will kill Fu Guangcai. And he's still old, so he can't carry much time at all.
Lu Baoliang went in to check Fu Guangcai, and then called Fu Yuejin out and said: "The patient has surgery, and once there is intestinal necrosis or intestinal fistula, the patient's life will be very dangerous." ”
Fu Yuejin didn't believe in Su Hongwen, but he believed in Lu Baoliang, for no other reason that Su Hongwen was too young, and Lu Baoliang was the director and was still old. My father is old, and I'm afraid he won't be able to stand it. ”
Lu Baoliang said: "Now I don't want to have much hope of conservative treatment, surgery as soon as possible is the best way, of course, we respect the opinions of the patient's family, if you ask not to operate, then conservative treatment, but you have to sign a record of the conversation for me." ”
The conversation record that Lu Baoliang said is to write down Fu Guangcai's condition in detail, and then their doctor's opinion, and below is the opinion of the patient's family who disagrees with the operation, and let the patient's family see it clearly and then sign, which is also a measure for the doctor to protect himself.
Fu Yuejin hurriedly said: "In this way, I'll go in and discuss it with my mother." "Fu Guangcai is so old, and he has high blood pressure and coronary heart disease, Fu Yuejin is really afraid that his father will not be able to come to the stage, so he has to discuss it with his mother.
Lu Baoliang said: "Okay, but you hurry up, the patient's condition is very urgent, and the more time he delays, the more bad it will be for him." ”
Lu Baoliang returned to the office, and Su Hongwen said: "I have notified Director Lu's operating room, and the preoperative examination has been done on the day the patient comes, so I will write the surgical consent form, and then ask the patient's family to sign." ”
Lu Baoliang said: "Don't worry, the patient's family means that they want conservative treatment, and they are discussing it." ”
"What? Conservative treatment? They don't want the patient's life, so they have to operate immediately, and it is not good for the patient to delay it? Su Hongwen was a little anxious.
Lu Baoliang smiled bitterly: "Then what can be done?" We have to respect the opinions of the patient's family, and wait. ”
"Wait? How to wait? Once the patient has intestinal necrosis, this can be troublesome. "Based on Su Hongwen's inference, the patient still has a chance to survive after surgery, but if it is treated conservatively, the patient has a 90% chance that he will not survive for a few days.
"Xiao Su, I understand your feelings, but you also have to respect the opinions of the patient's family, right? Wait, don't rush that much. Lu Baoliang felt that Su Hongwen was still too impatient sometimes, and he also knew that the patient's condition should be operated on immediately, but was this matter said by the doctor?
At this time, Yu Yong suddenly came with two very young girls, and smiled at Lu Baoliang: "Director Lu, this is a new intern this year, and the other students are divided, you can take these two girls with you." ”
It's already July, and it's time for interns to report every year, and the doctors really want the interns to come, they can't do a lot of work when they come, but they can run errands and do chores, and it can also make the doctors more leisurely.
However, Yu Yong divided the two girls to Lu Baoliang but deliberately made it difficult for him, there are few women who can do the work outside the general world, it is too tiring, even if the interns come, the doctors also like to take male students, they can't do surgery but can teach them to pull hooks, but female students don't have the physical strength to do this simple work. (To be continued......)