Chapter 936: Raise your eyebrows
Mi Zixuan didn't go to the first ward after making the appendix, but went to the second ward, and he planned to go around the six wards of the emergency center, and Mi Zixuan was not used to staying in his office like other directors to write papers and do research, he still liked to stay in the clinical front line, and Mi Zixuan found out the real level of his subordinates as soon as possible, how to find out, naturally he went to the ward to work with them.
Today, the second ward is not too busy, and there is no need for Mi Zixuan to grab such a little patient with his subordinates, so he simply stays at the nurses' station and watches everyone work, Mi Zixuan doesn't feel anything, but the doctors and nurses in the second ward are a little nervous, for fear that something will go wrong in front of the leader.
Mi Zixuan wanted to light a cigarette at this time and lean on the nurse's station to watch everyone busy leisurely, but this is not the county hospital of Feng County, nor the oncology department of Hede City, but the emergency center of the provincial hospital.
Mi Zixuan was staying at the nurse's station to watch his subordinates work, Xiang Ming came over angrily, and said very unceremoniously as soon as he came up: "Director Mi, why did your emergency center rob our patients outside the general public?" You give me an explanation! ”
Mi Zixuan looked at Bai Li's badge and smiled: "Director Xiang, right?" ”
As soon as the doctors and nurses in the second ward saw Bai Li coming to Xingshi to ask for guilt, they all turned their heads sideways and looked over curiously, wanting to see how Mi Zixuan solved this matter.
Xiang Ming frowned and said, "Yes, it's me." ”
Mi Zixuan smiled slightly, turned his head sideways and said to the nurse, "Call Gui Tong over." ”
The nurse hurriedly picked up the landline and called, and soon Gui Tong came, and when he saw Xiang Ming, who was angry, he guessed that it must be because the patient with the appendix came to Xingshi to ask for the guilt, this is troublesome, no matter what, Mi Zixuan is not reasonable, the patient with the appendix is the general public, and the emergency department is qualified to accept it, let alone operate on the patient in the emergency department.
Mi Zixuan glanced at Gui Tong and said, "Tell the director about the situation of the appendix patient." ”
Gui Tong nodded and said: "The patient is a male, twenty-four years old, with metastatic right lower quadrant pain for three hours, if he is admitted to the hospital, the physical examination is tenderness and rebound tenderness, 21,000 white blood cells, 93% of Zhongxing granulocytes, and he is diagnosed with acute appendicitis. ”
Mi Zixuan looked at Gui Tong and said, "You received the patient, how do you deal with it." ”
Gui Tong said honestly: "After being diagnosed with appendicitis, I called Puwai and asked them to come for consultation. ”
Mi Zixuan looked at Xiang Ming and said: "Director Xiang, you heard it, it's not that we don't give the patient to you, but your doctor said that there is no bed, and asked the patient to stay in our emergency center for observation, the patient continues to burn, and the tenderness and rebound pain are getting worse and worse, you are the director of the general surgery, in this case, you should know that the patient's appendix may be perforated at any time, and I don't need to say more about what the consequences will be once perforated, right?" ”
After Xiang Ming heard Gui Tong finish speaking, he scolded Bai Li for not telling him the truth, which made it clear that it was not the emergency center that did not transfer the patient, it was his subordinates who said that there was no bed, and the patient's symptoms worsened and he had to undergo surgery, so Mi Zixuan did it for him, so it was not him Mi Zixuan who was at fault, but the general outside.
But Xiang Ming came here, if he was beaten by Mi Zixuan in a few words, he would lose a lot of face, so Xiang Ming said a little unreasonably: "Even if this is the case, you are not qualified to operate on patients in the emergency department." ”
Mi Zixuan pursed his lips and smiled: "Not qualified? Director Xiang, you want to find out that I am not an emergency center, but an emergency center, what is an emergency center, do you still need me to explain to you? We have a corresponding operating room here, which is qualified to perform emergency surgery on emergency patients, and you can bring this lawsuit to the health bureau."
The emergency department is indeed the department of triage patients, and the patient's symptoms are initially diagnosed after receiving the department, and then assigned to the corresponding department according to the type of disease, but there is an essential difference between the emergency center and the emergency department, why the emergency center is equipped with the operating room, the laboratory department, the radiology department, and the cT room, is because the emergency center is not only a department for triage patients, but also a department that has the right to give further treatment to emergency patients, so Mi Zixuan is right, he has the right and the qualification to operate on emergency and critically ill patients in the emergency center, carry out further treatment, do not waste the time of rescuing the patient on the way to the department.
The establishment of the emergency center in Huaxia is also to learn from the United States, and to provide further treatment for patients with acute and serious diseases in the emergency center, without delaying the treatment time of patients.
Mi Zixuan choked Xiang Ming enough with a simple sentence, in his concept, the emergency center was the previous emergency department, but it was just a department to triage patients, and he didn't expect that the emergency department had already become an emergency center.
Xiang Ming's face was a little ugly, and he wanted to say something, but he couldn't refute Mi Zixuan, because he was right, the emergency department has become an emergency center, and Dean Cheng Boyuan has made it clear at the hospital committee that the main task of the emergency center now is that once the emergency department is taken over, critically ill patients have the right to treat the patient immediately, or even do surgery, and after the patient's condition is stable, he will be transferred to the relevant department for continued treatment depending on the patient's condition.
Xiang Ming was angry now, so he could only glare at Mi Zixuan fiercely and leave angrily.
This tearing war ended not long after it began, so that everyone had a feeling of excitement, but soon there was a feeling of raising eyebrows, the doctors and nurses in the emergency department were angry bags, not only to receive the anger of patients and their families, but also to be angry by doctors and directors of other departments, and the patients turned slow to be complained by the doctors and directors of other departments, and even trained a pass, who would have thought that the emergency department could have today, not only did the general surgery, but also said that the director of the general surgery had no temper at all, which was really happy. Everyone had a feeling of turning over and singing serfs in their hearts.
Mi Zixuan clapped his hands to attract the attention of the doctors and nurses in the second ward and said: "Verbally announce one thing to everyone, we are not an emergency department, we are an emergency center, and the hospital is equipped with an independent operating room, laboratory department, and radiology subjects?" The purpose is to allow us to take over acute and critical patients as soon as they are diagnosed, we can give further treatment to the patients and buy time for the patients, so from now on, we do not need to transfer to other departments immediately after the diagnosis of acute and critical patients, and we can do further treatment here. ”
Gui Tong looked at Mi Zixuan excitedly and said, "Director Mi, you mean that as long as it is an urgent and critical patient, we have the right to operate on him, right?" ”
Mi Zixuan smiled and nodded, all the male doctors were excited, almost all of them had the dream of becoming a surgeon when they went to medical school, but after entering the hospital, they missed the scalpel for one reason or another, and now they have the opportunity to pick up the scalpel and complete the dream in their hearts, they are naturally happy and excited.
Mi Zixuan continued: "I know that you don't have much experience in surgery, but I promise that as long as I am in one day, I will train you as soon as possible, so that you can take charge of yourself and complete the operation of emergency and critical patients independently." ”
Gui Tong jumped up excitedly and shouted, "Yay! ”
Mi Zixuan said with a smile: "Okay, just do what you have to do, don't delay the treatment of the patient, go and get busy." ”
Everyone dispersed immediately, and soon there were rumors in the hospital that the emergency center could do surgery for emergency and critical patients, and many operating departments were dissatisfied, because this was tantamount to the emergency center robbing some of their patients, but no one could say anything, the current responsibilities of the emergency center are different from before, Mi Zixuan does have the right to immediately perform surgery on urgent and critical patients, everyone is unhappy, but they can only pinch their noses and admit it.
With this matter, everyone is dissatisfied but can't say it, but it doesn't prevent everyone from waiting to see Mi Zixuan's jokes, didn't he implement drug sensitivity control in the emergency center, and didn't he want to improve the treatment of medical care in the emergency center? Everyone knows very well that Mi Zixuan is making trouble for himself, the drug system not only directly affects the income of the doctors in the emergency center, but also affects the interests of Lai Chunlei, the director in charge of drugs in the hospital, and the director of the pharmacy department, even if the doctors in the emergency center dare not speak out, but Lai Chunlei and others can let Mi Zixuan go like this? There must be more actions to rectify Mi Zixuan, so that he is obedient, it is not too far from Mi Zixuan's unlucky days, everyone is going to see that Mi Zixuan was still laughing at that time.
It's the weekend in the blink of an eye, Mi Zixuan rarely has a time to rest, and he also has time to look at the house he bought from Qi Xuan, but before he can get to the place Jiang Lele's phone called, he said: "Uncle Mi, our school will organize us to go to Moshan Lake for a summer outing, and we must be accompanied by our parents, my mother is too busy, let me call you, can you accompany me?" ”
Mi Zixuan immediately smiled bitterly, saying that he couldn't talk and mixed with a dry bear child, but it didn't seem to be okay if he didn't go, Jiang Qingsi was a busy person, so if he had time to accompany Jiang Lele to the summer tour, who would go if he didn't go? Jiang Lele didn't have any relatives in the provincial capital at all.
Mi Zixuan sighed and said, "Okay, should I pick you up at your house, or go directly to school?" ”
When Jiang Lele heard that Mi Zixuan agreed, he cheered excitedly and said: "Come to my house, the school bus will pick us up in a while, my mother has prepared our things, you don't have to bring anything." ”
Mi Zixuan thought to himself, it seems that Jiang Qingsi had premeditated, everything was packed up!