"Dean Lin, didn't you say that it was the attending doctor, how did you become the deputy director, didn't you kill me?"

Walking out of the emergency room, Jiang Yu smiled bitterly at Lin Jianping, this is not to say that Jiang Yu thinks that he does not have the strength to be the director, but that he is really too young.

Although Jiang Yu has just graduated from Harvard Medical School in the United States, he is a native of Longjiang and naturally knows the current situation in China. Qualifications are important in the country, especially in the medical field.

Although the state now advocates the promotion of young people, in fact, it is still difficult for young people to convince the public, especially in places like hospitals, Jiang Yu, a young man who has just returned from abroad, serves as the deputy director, and there are inevitably not many people who are convinced.

Lin Jianping smiled as he walked: "Xiao Jiang, you are a talent, it is a blessing for our hospital to be able to come to our hospital, as for being the director, you don't have to worry, it's not a career establishment, there are not so many things, I believe you can do a good job." ”

The provincial hospital belongs to the hospital directly under the Department of Health, and it is difficult to approve the establishment of the business, and Jiang Yu's new arrival and the hospital are only a contract system for the time being, so it is not too outrageous to give Jiang Yu a deputy director.

Knowing that Jiang Yu is a young man who treated Chang Lao six years ago, and a student of Liu Lao, Lin Jianping does not attach great importance to Jiang Yu, not to mention anything else, just talking about the relationship between Jiang Yu and Kevin, it is worthy of Lin Jianping's attention, if Kevin can be invited to come to the provincial hospital to give a speech once a year, it will greatly enhance the reputation of the provincial hospital.

"Okay Xiaojiang, I still have something to do, so I won't accompany you, Chang Lao's side, you pay more attention to it, call me at any time if there is anything, the emergency department is not in a hurry, I have time to go around, and you will officially go to work when Chang Lao recovers."

Saying that, Lin Jianping said goodbye as soon as he explained.

Looking at Lin Jianping's back as he walked away, Jiang Yu shook his head with a wry smile, turned around and walked towards the emergency department. Chang Lao's side is not an overnight thing, just need to go to the fixed point for a review, usually there are nurses watching, and Jiang Yu doesn't have to worry about it 24 hours a day, since he decided to work in the emergency department, Jiang Yu still plans to familiarize himself with the situation first.

As soon as I walked back into the emergency department, a cart rushed in at the door, and a fifteen or sixteen-year-old girl was lying on the cart.

"What's going on?" Jiang Yu hurriedly greeted him.

The accompanying medical staff saw Jiang Yu just now, and hurriedly said, "Director Jiang, this child is a student of a nearby middle school, and he suddenly fainted just now. ”

Jiang Yu stepped forward to check the girl's pupils, and at the same time lifted the girl's sleeves, there were many small spots on the girl's arms, and there were some bruises on the arms.

After seeing the spots on the girl's arm, Jiang Yu reached out and touched the girl's veins, and said in a deep voice: "It may be a serious apocalypse, do a blood test first, and then notify the hematology department for consultation." ”

"Heavy rearmament?" The accompanying doctor looked at Jiang Yu hesitantly, this is too hasty, the patient has just been sent in, and he has not yet been examined, and Director Jiang has been diagnosed with severe aplastic aplasia?

You must know that this major aplastic disease is not an ordinary disease, the full name is severe aplastic anemia, which is a very serious blood disease, if leukemia is cancer, then major aplastic is a soft cancer second only to cancer.

Severe aplastic anemia is a disorder of blood cell regeneration, it is not the kind of anemia we usually say, it can be recovered by supplementing some nutrients or vitamins, but the body's own hematopoiesis is no longer enough for its own use, and it cannot be replenished.

The mortality rate of severe aplastic aplastic is also very high, almost reaching 80 to 90 percent, and if Jiang Yu's judgment is accurate, then this girl is equivalent to almost being sentenced to death.

This is also due to the fact that Jiang Yu was personally led to the emergency department by Lin Jianping, and he is also a deputy director, if it is not so, the accompanying medical staff will refute it.

"What are you still doing in a daze, go for an inspection, I'll know soon." Jiang Yu urged.

Jiang Yu is a first-aid major, and at the same time he is a very powerful Chinese medicine doctor, the basic skills of looking, smelling, asking, and cutting are very solid, just now I checked the girl's situation, and confirmed that Jiang Yu is almost certainly a serious apocalypse.

Fortunately, in the United States for a few years, Jiang Yu still knows the medical knowledge, since he works in the hospital, there should still be some examinations, otherwise the patient's family will first find him trouble, saying that he cursed other people's daughters.

"What's the situation?" At this time, Li Yue'e also rushed over when she heard the news.

"The patient suddenly fainted and was sent, and Director Jiang said that it might be an ascal." The accompanying medical staff explained.

"Then go for a blood analysis first, with various tests, go quickly." Li Yue'e briefly checked and waved her hand.

can be the deputy director of the emergency department, Li Yue'e is naturally not comparable to the following small medical staff, although Jiang Yu is young, but can be hired by Lin Jianping as the deputy director, presumably there is still some ability, you must know that the emergency department is not better than other departments, and if you don't have real skills here, you can't stay for a day.

What is the place of the emergency department, the first protective door of the hospital, the first checkpoint, all the emergency serious cases will be sent to the emergency department first, and the emergency department will deal with it and then notify the major departments, if you want to say that the department of the hospital has the most deaths, there is no doubt that it is definitely the emergency department.

"Director Li." Jiang Yu stepped forward to say hello to Li Yue

"Hello Director Jiang." Li Yue'e nodded to Jiang Yu, didn't say much, and continued to be busy with her own affairs.

Jiang Yu didn't have a patient in charge when he first arrived, and he didn't change his clothes, so he simply familiarized himself with the environment in the emergency department first.

After a while, Jiang Yu returned to the intensive care unit and examined Chang Lao, and a call came in, and the caller ID was an unfamiliar mobile phone number.

Jiang Yu picked up the phone, and it was a very nice female voice: "Director Jiang, I am Xiao Li of the emergency department, Director Li asked you to come to the office, it is about that girl, and the experts from the hematology department are almost here." ”

"Okay, I'll be right there." Jiang Yu answered, hurriedly walked to the emergency department, and as soon as he entered the door, a young doctor in a white coat of twenty-five or sixteen years old greeted him.

"Director Jiang, I'll take you to the office." Listening to the voice, it was the female doctor who called him before, Jiang Yu remembered that this female doctor seemed to be called Li Mengrong, and she was the doctor in charge of the emergency department.

"Thank you, Dr. Lee." Jiang Yu smiled and thanked him.

"Director Jiang, you are polite, you are so young, you are the deputy director, you are simply amazing, the big guys were talking about you just now." Li Mengrong should be about the same age as Jiang Yu, at most one or two years younger, very beautiful, and very talkative.

"What does everyone say about me?" Jiang Yu asked with a smile: "I'm just here, so I'm not familiar with everyone." ”

"Everyone says that you are amazing, and the preliminary examination can confirm that the girl is a severe aplasia, which is amazing." Li Mengrong smiled and said the big guy's evaluation.

It turned out that after the girl's examination results came out just now, and it was confirmed that it was aplastic anemia, the previous intern doctor told Jiang Yu's judgment, and many people in the emergency room were surprised.

"It's nothing powerful, watch more, think more, you can too." Jiang Yu smiled and didn't say much.

When he came to the office, Zhang Yuwen was alone, and when he saw Jiang Yu coming in, he stood up and beckoned: "Director Jiang is here, sit down." ”

"Director Zhang, I heard that you are looking for me?" Jiang Yu asked politely.

"I'll discuss something with Director Jiang." Zhang Yuwen poured Jiang Yu a glass of water and said: "Thank you Director Jiang today, the girl who suffered from aplastic has been diagnosed, if it weren't for Director Jiang, we would definitely have to delay a lot of effort." ”

Zhang Yuwen's words are not completely polite, you must know that in the emergency department, time is life, many patients are sent to the hospital, and the doctor is first aid and diagnosis, and only when he understands what the symptoms are, it is convenient to take measures.

However, in Western medicine, how to know what disease a patient is suffering from, in addition to experience, the most relied on is the examination of various instruments, the investigation of various laboratory tests, and so on.

It is important to know that there are many kinds of examinations in the hospital, and if the patient enters the hospital and all the items are investigated, there is too much time delayed, and it is very likely that the best treatment time will be missed.

Therefore, the doctor in the emergency department should first make the most likely guess of the patient's symptoms for a long time, and conduct targeted examinations for this guess to confirm the diagnosis as soon as possible and avoid unnecessary delays.

Take Jiang Yu as an example, he first judged that the girl might be suffering from aplastic disease, so that the first examination is a series of examinations for aplastic aplasia, so as to avoid wasting time on other examinations, and facilitate timely diagnosis and treatment in the emergency department to stabilize the condition.

Therefore, a good doctor, experience is very important, and rich experience and judgment can avoid a lot of misdiagnosis and save valuable time for patients.

"Director Zhang is polite, since I have joined the emergency department, I am also a member of the emergency department." Jiang Yu said with a smile.

"Director Jiang is a high-achieving student who came back from the United States, with rich experience, and it is an honor to come to the emergency department, to be honest, the emergency department is tired, there is a shortage of personnel, and many people are reluctant to come." Zhang Yuwen sighed.

"Director Zhang, if you have something, just say it." Jiang Yu smiled, he could see that Zhang Yuwen had something to say.

Zhang Yuwen hesitated for a moment, and then said: "That's the case, the medical staff in the emergency department have always been very nervous, although Dean Lin told me that Director Jiang has other things to do now, and he can't work normally for the time being, but I can't help it, this girl who suffers from aplastic atrophy still has to live in our department for the time being, I mean Director Jiang is personally in charge of this patient......"

"No problem." Jiang Yu nodded, although he still has to take care of Chang Lao, but he doesn't need to take care of it twenty-four hours a day, plus this girl is also busy.

"Then I'll thank Director Jiang in advance." Zhang Yuwen said with a smile: "This patient is in charge of Li Mengrong for the time being, Director Jiang will ask Dr. Li for anything to understand the situation, and if you need help, please feel free to contact me." ”