Chapter Forty-Eight: Blocking
Continue to kneel and beg for Sanjiang tickets, the gap is getting bigger and bigger, and I don't know if I can catch up, everyone give more, how much can I catch up, thank you first!
Liu Yongqiang was suffocated in Su Hongwen today, and his mood was extremely bad, but when he came to the city, he always moved the relationship, but now it is almost 1 o'clock in the afternoon, and it is obviously inappropriate to give gifts at this point.
Coincidentally, Liu Yongqiang and Su Hongwen chose the same shopping mall, when Su Hongwen went to sell gold, Liu Yongqiang walked around the third floor, and felt that there were no satisfactory clothes and went directly to the fourth floor, just to see Su Hongwen check the old man lying on the ground, seeing this scene Liu Yongqiang sneered again and again, I feel that Su Hongwen This kid is really arrogant, what do you say you can do as a poor student who has just left school? What can you learn from staying in the vulture valley where birds don't for half a year and not even seeing anyone?
Now it's good that you have the audacity to examine the old man on the ground, even if you check it, you can get a diagnosis of six? What will you be? is purely a college student who wears glasses and pretends to be a college student, and he has nothing to do with himself when he is full.
It's no wonder that Liu Yongqiang looks down on Su Hongwen so much, he has been working in the medical field for seven or eight years, and he has gone to the county-level hospital for further study twice, where Liu Yongqiang has seen many young doctors who have just left the school and entered the hospital, these young doctors who have just entered the hospital can be said to know nothing, even if they are studying seriously in school, they are also that virtuous, and the medical profession is not just book knowledge, but more experience.
In the county-level hospitals, those young doctors can't even stitch up a simple suture, so it's easy to let them diagnose a patient, but it's a little more complicated, this diagnosis is not the right donkey's head, it's no wonder, Huaxia's medical education is this virtue, in school keep memorizing all kinds of medical knowledge, to put it bluntly, it is rote memorization to deal with the exam, and after the exam, the next semester is new, and it won't take long to forget what I learned before, In a developed country, it takes at least seven years to train doctors, but in China, it is basically a quick train.
There are too many things involved in medicine, it can be said that it is broad and profound, other countries have cultivated one in seven years, and some secondary schools and junior colleges in China have been trained in three years, and these three years also include one year of internship time, that is to say, internal, external, gynecology, pediatrics, anatomy, pathology, physiology, pharmacology and so on A lot of things are taught in two years, is it possible for students to lay a solid foundation in such a short time?
Even undergraduate, graduate, and doctoral students are almost the same, they still receive exam-oriented education, and there is no problem in dealing with exams, but let them diagnose and treat diseases for patients!
There are also internships, even Anhe Hospital, the best hospital in China, is timid when training interns, and does not dare to let interns participate in too much diagnosis and treatment work, for fear of some medical accidents, Anhe Hospital accepts students who graduated from third-rate undergraduate colleges like Su Hongwen is nothing more than to generate income for the hospital, you must know that the internship in medicine has to pay the internship fee, the hospital level is different, the internship fee is also different, the reason why Su Hongwen came to Anhe Hospital is Su Donghe's meaning, he just wants his son to intern in the best hospital, so that you can learn more things, but this is not the case at all, it can be said that Su Hongwen almost didn't learn much.
Even Anhe Hospital trains interns in this way, and other hospitals can be imagined, summing up the students who graduated from Huaxia's medical school in one sentence, that is, the basic knowledge is not good, and the hands-on ability is not good.
Liu Yongqiang is also a person in the physique, he naturally knows these things very well, in his opinion, Su Hongwen can't fart, this time he is pretending to be big, he is too lazy to care, just look at Su Hongwen's disagreeable eyes, if he fools around and makes something come out, he will be unlucky in the end, and he can get out, it can be said that Liu Yongqiang is schadenfreude mentality is watching from the side.
But when Su Hongwen broke the pen in half, Liu Yongqiang couldn't do anything about himself, Su Hongwen could pretend to treat the old man on the ground, this is a shopping mall, there is no medicine and no equipment, Su Hongwen can talk nonsense casually, even if the result of his diagnosis is not right afterwards, it is not a big deal.
Even if the family wants to be held responsible, they can only find Su Hongwen, and this responsibility is not too big, after all, Su Hongwen also moved his mouth and helped the old man check at the beginning, and did not use any treatment measures for the old man, so that even if the old man dies and the family makes a fuss, Longyanquan Health Center is at most a responsibility for improper employment, and it is Su Hongwen himself who insists on going over to see the old man, and the responsibility is also here for Su Hongwen, and in the end, in order to calm the anger of the family, Su Hongwen was kicked out.
But now Su Hongwen actually dug up the pen, which was obviously to pierce the old man's chest to deflate, Liu Yongqiang could still see this, how to say that he had also been a doctor for several years, and he still knew the first aid methods for treating patients with sudden pneumothorax.
But was the old man a sudden pneumothorax? I don't even have a chest X-ray, how can I confirm the diagnosis? What if it's an acute myocardial infarction? Su Hongwen really wanted to stab the pen into it, and the old man's life was saved, but if he died, then that?
Even if it is a pneumothorax, does Su Hongwen have the skill to use a broken pen to deflate? If the piercing part is not right, or the force is too strong, the life of the old man on the ground will still be lost, which is a big deal.
Although Liu Yongqiang's medical skills are not very good, but the treatment of pneumothorax is still possible, this is a very small operation, the difficulty is not great, generally under local anesthesia is to use a scalpel in the second intercostal space of the midline of the clavicle of the chest where the pneumothorax appears, and then use the hemostat to separate the lower pectoral muscle, penetrate the pleura and put the tube of the drainage bottle into it.
But it is such a small operation Liu Yongqiang is not very neat now, those doctors in county-level hospitals who have just been working for about a year are still like this, the surgical steps are in the books, it seems to be very simple, but the actual operation is not easy for doctors who are not experienced enough, often in accordance with the steps of the operation step by step, but the problems come one by one, because the experience is not enough, once the actual operation is inevitably nervous, so that either the incision is crooked, or the muscle can not be separated, can not penetrate the pleura, after penetration, the tube can't be put in, in short, there are a lot of problems.
There are all kinds of instruments in the hospital to help doctors complete thoracostomy drainage, even if you can't do it, you can find a senior doctor, but now in the mall Su Hongwen does not have any instruments in his hand, some are two truncated pens, although now Su Hongwen only needs to pierce the two truncated pens into the chest of the old man, but the difficulty is much greater than doing this kind of surgery in the hospital.
The broken pen is not a scalpel, although there is a sharp stubble at the broken end, but the strength is not well mastered, it can not penetrate the skin at all, let alone the pectoral muscles below, even if the stubble at the broken end of the pen penetrates the skin, it will be broken in the muscles, and the purpose of deflation cannot be achieved.
If you use too much force and don't grasp the position well, even if you penetrate the chest wall, what if you poke a big hole in the lower lung because of too much force?
The damage to the lungs is not likely to kill the old man on the ground, in case the lungs are poked out of a larger hole, there will be more gas in the chest, and a small broken pen will not be able to release the qi as much as possible, and the final result is to make the old man on the ground die faster.
Without the assistance of instruments, it is quite difficult for Su Hongwen to deflate, not to mention that he Liu Yongqiang does not have this skill, even if he invites those senior doctors from municipal hospitals, he may not have this skill, it is really this kind of rescue measures to control the strength and position of the mastery is too high, many doctors are used to relying on the help of instruments, few people will face patients with sudden pneumothorax without the assistance of instruments like Su Hongwen, so that the experience will naturally not accumulate much.
Now Su Hongwen, a guy who just got out of school and doesn't even have a doctor's qualification certificate, has the audacity to use a broken pen to deflate, this terrible Liu Yongqiang was frightened, he didn't believe that Su Hongwen could do it at all, the thoracic surgery directors of those county-level hospitals he knew couldn't do it, how could Su Hongwen do it?
If Su Hongwen really started, then if there was something wrong with the old man, the responsibility would be too great, just now Su Hongwen was talking nonsense, but he didn't give the old man any treatment measures, but now that he has to do treatment measures, the nature of the problem has changed.
First of all, Su Hongwen has no qualifications as a doctor, it can be said that he is practicing medicine illegally, and this family member alone can make the Longyanquan Town Health Center jump by the chicken, fly and dog, and at that time He Guangchen knew that Liu Yongqiang was by his side but did not stop Su Hongwen from doing this, he would definitely have to settle accounts with him Liu Yongqiang, and at that time, he should not be the vice president, let alone become the president after a year and a half.
Secondly, Su Hongwen doesn't have that skill at all, he is tantamount to murder by doing this, and the family will hold him accountable, and Su Hongwen himself is unlucky, but Liu Yongqiang, the vice president, is by his side, and he didn't stop him from doing this, and his family will definitely trouble him, and Liu Yongqiang will definitely be unlucky and unlucky.
Liu Yongqiang naturally understood these things, so he couldn't watch the excitement from the side, so he hurriedly spoke out to stop Su Hongwen, and he couldn't let him mess around and put himself in.
Hearing Liu Yongqiang's voice, Su Hongwen frowned and said impatiently: "What do you say I'm going to do?" I want to save people! ”
Hearing this, Liu Yongqiang jumped up like a cat that had been stepped on by its tail and screamed: "You fucking bullshit, you are saving people, you are killing people!" ”