Chapter 21 Not wearing a mask
Dai Yunyang was very happy, relieved the patient, when he went out, the patient's family came to ask, Dai Yunyang told them that the situation was improving, the family members were very happy, and thanked them vigorously.
Dai Yunyang went downstairs and prepared to go to Wu Hao's office to tell him about his adjusted diagnosis and treatment. Seeing Wang Bingbing and several nurses talking to the medical guide, one of them caught his attention, Wang Bingbing said: "Dr. Wang in the fever clinic is sick, coughing and fever, it should be that the patient infected Dr. Wang with the flu, and he never wears a mask when he treats patients, so he has been tricked." ”
The reason for wearing a mask yesterday was to worry about cross-infection between patients and medical staff, and after being lectured by Wu Hao yesterday, he gave up this idea, and now he heard that the doctor in the fever emergency department was infected with the flu and fell ill, and the worry in his heart came out again.
He came to the director's office and first told Wu Hao about the treatment of the female patient coughing up blood.
After Wu Hao heard that it was amoxicillin anaphylactic shock and hemorrhagic shock, he couldn't help but be stunned and opened his mouth wide: "So that's the case?" The toxicity of oral penicillin is relatively low, and the adverse reactions are relatively few, especially the allergic reaction with coughing up blood as the main symptom. ”
Dai Yunyang grinned: "It was also because I asked such a sentence during the consultation, and after learning that I had taken amoxicillin capsules after tooth extraction and ruled out all possibilities of coughing up blood one by one, I noticed this reason, to be honest, I wasn't sure if it was, so I thought about trying to adjust the medication first." ”
"Looks like you're right." Wu Hao sighed, "Allergies are actually allergens and antibodies acting on sensitized cells, releasing vasoactive substances, causing peripheral vasodilation, capillary bed expansion, plasma exudation, and relative lack of blood volume. ”
Dai Yunyang said: "Yes, the patient seems to have amoxicillin that caused the increase in the permeability of the alveolar hair cell vascular network, the systemic vascular wound dilation, and the blood volume was insufficient, and a large amount of blood was coughed up, and the blood volume was even more insufficient, causing hemorrhagic shock." ”
Wu Hao said: "Many things, only when it comes to that part, will you think of it, this patient is like this." ”
"Yes, director," Dai Yunyang decided to raise his concerns again, but from a different angle, "I just heard the news that Dr. Wang from the fever clinic was infected with the flu by a patient who was seeking medical treatment and fell ill. ”
Wu Hao looked at him with a smile: "You should have other intentions when you tell me about this, right?" ”
Dai Yunyang nodded: "Well, I think our emergency center should do a partition to separate the fever patients with a high possibility of infection and put them in a separate area, separate from ordinary patients, to avoid cross-infection." ”
"That's a good idea, but our emergency center is such a big place, and besides, there aren't enough people. If you can find a suitable place to set up a fever emergency area, and you can find the right people, then no problem. ”
Dai Yunyang knew that Wu Hao was telling the truth, so he had to smile and leave.
At a glance, he saw Li Yanling walking out of her office with a gloomy face, and intern Yu Shasha followed behind. Dai Yunyang's heart moved. The emergency center knows that Li Yanling is usually very unconvinced by the director Wu Hao, thinking that he often responds negatively and does not act, and is very dissatisfied with this, and often privately discusses what will happen if she becomes the director, she has this ambition and may support her own ideas.
At that moment, he stepped forward to greet Li Yanling, and when he saw her gloomy face, he first asked with concern: "Director Li, are you in a bad mood?" ”
Li Yanling said indignantly: "There are so many fever patients in our emergency center today, I went to the outpatient clinic to ask, and I found out that they never open their doors on weekends, so they came to the emergency room for so many patients." The fever clinic should be open 24×7 according to the regulations, but now it has become an ordinary outpatient clinic. Haven't we become a real fever clinic rather than an emergency department? It's just too bullying. I'm going to find Dean Shen to react! ”
Yu Shasha interjected: "No, the doctors and nurses in our emergency center are tired like dogs, all because the fever clinic is not open according to the regulations on weekends." ”
The fever clinic was originally to work all day, including weekends, but in fact it has become an ordinary outpatient clinic, and it commutes to and from work normally, and all the fever patients after work are brought to the emergency department. At the moment, he also sighed: "It's not." ”
Hearing that Dai Yunyang also agreed with her point of view, Li Yanling was even more indignant: "The system of fever clinics has not been abolished, it is just that they do not strictly implement it." Now it should be strictly enforced, they are strictly enforced, so that we can focus on the patients who really need emergency treatment, and now you see, how many emergency patients are really emergency? Most of them are fever patients with these common colds, coughs, diarrhea, and diarrhea. These are supposed to be in charge of the fever clinic, and they are all piled up on our heads. This matter has to be discussed with the leaders of the hospital. ”
Dai Yunyang hurriedly said: "It is important to let the fever clinic resume round-the-clock reception, but our own prevention is even more important, Director Li." Otherwise, if our doctors and nurses are sick, who will come to see them? ”
Li Yanling didn't understand for a while, and looked at Dai Yunyang: "What are we guarding against?" ”
Dai Yunyang turned his head and pointed to the waiting hall full of people not far away, and he could hear the sound of coughing and sneezing one after another, and said: "There are too many patients, and many of them are fever patients, mixed with ordinary patients, it is easy to cross-infect, and it will also infect our medical staff." A doctor surnamed Wang on the outpatient side contracted the flu, and I proposed to Director Wu to divide our emergency center into pieces and isolate the fever emergency department separately. ”
"Your proposal is very good, and you are right, there are always more solutions than difficulties. I agree with you, it doesn't matter if he Wu Hao doesn't agree, I will go directly to Dean Shen for instructions, these two things are applied together, Dean Shen agreed, and he, Wu Hao, did not dare to object. ”
Li Yanling immediately walked quickly. Yu Shasha is a follower and has been following behind.
Soon, the two of them returned, and Yu Shasha hugged a large stack of pamphlets. At the same time, everyone was loudly beckoned to the conference room for a meeting.
Wu Hao heard it, a little strange, came to the conference room, and asked, "What meeting?" ”
Li Yanling said: "I went to Dean Shen for something, but he was not in the office. We passed by the medical department, and they happened to have some information to distribute to the various departments, so I got it back. Well, that's it. ”
As he spoke, he handed a white-covered booklet to Wu Hao.