Chapter 18 Night Shift
Generally speaking, there are more patients on Saturdays and Sundays, and also in the evenings.
In a large hospital like theirs, there is no need to work night shifts at the director level, unless there are special circumstances. Even the deputy director rarely works the night shift.
Like the team of the door director, there are 2 attending doctors of this hospital. Usually, the night shift only requires one attending doctor, and then one resident doctor and one or two interns from the hospital can be arranged. When you can't get busy, you can ask someone from the general surgery inpatient department to help with the operation.
In some cases, there is no need for the attending doctor to work the night shift, and two resident doctors and one trainee doctor and intern are all that is done. After all, he is a resident doctor in the First People's Hospital of Wuzhou. There is basically no problem with first- and second-level surgery, and even third-level surgery can be done. If you really encounter a difficult problem in an unexpected situation, the surgical inpatient department will send a master to take charge of the surgery.
But now Jiang Yan's newly established team has only three resident doctors from Hou Quanhai who have come to study for further study, so it is needless to say that the level is naturally needless to say. Except for Hou Quanhai, everything else is garbage. Can't get on the countertop of the rough blank.
Belch...... In this way, it is estimated that Fan Yu and Yang Xuan will be unconvinced, but they are indeed rough ......
In other words, when working the night shift, it is estimated that Jiang Yan needs to be in charge in person. Otherwise, when the time comes, there will be a tricky patient, and the three resident doctors will rescue them?
In fact, Jiang Yan was also a little angry at the moment, she just came in, and she didn't want to fight for anything, but these two directors targeted her everywhere, and she was not muddy.
"But I can't line up for two night shifts, at least they have to be separated. Otherwise, it would be impossible for me to work the night shift continuously. As you know, all three of them are resident doctors who come for further training, and I don't worry about letting the three of them sit on their own at night. Jiang Yan said in a deep voice.
"Okay, or else, Friday and Sunday are your group's, how about that?" The door director also took a step back.
"Yes!"
So, this night shift schedule was set.
After the small meeting, Jiang Yan asked Hou Quanhai and the three of them to stay, and they held a small meeting alone.
"Tomorrow is Friday, and only 2 of the three of you need to be on night duty with me, which of you would like to?" Jiang Yan asked at the three of them.
"I do!" Fan Yu was the first to raise his hand to sign up. Just kidding, what a happy thing it is to be able to work night shifts with beautiful women? Besides, he is here to study, how can he miss the opportunity to learn from the big beauty?
"I do, too!" Yang Xuan is not far behind. On night shift, I will definitely be hungry in the second half of the night, and when the time comes, I can dedicate a supper to Jiang Meinu to eat, maybe I can brush up my sense of existence, right?
"What about you?" Jiang Yan looked at Hou Quanhai.
"I'm free, I'm resting during the day tomorrow." Hou Quanhai spread his hands and said it didn't matter. Although they are trainee doctors, they also have a day off every month.
"That's okay, tomorrow night's night shift will be Hou Quanhai and Yang Xuan and me." Jiang Yan said, she knew that Hou Quanhai's level was higher than that of the other two, he said it himself, so she decided to let Hou Quanhai work the night shift first and see the other party's level.
"Deputy Director Jiang, what about me, I can too, I also want to learn more from you." When Fan Yu heard that there was no him, he immediately became anxious. It's like losing a big daughter-in-law.
"It's okay, I'll line you up on Sunday."
Fan Yu: ......
Leave work.
The next day, Hou Quanhai went out for breakfast after getting up, and then spent 2 yuan to take a bus with a good look at this international metropolis.
Okay, I sat from the initial station to the last station, and sat back again, well, there are still 2 dollars left.
It's been a boring day.
He also wanted to have a better day off, but unfortunately his wallet was shriveled, so he forgot it.
On this day, he watched several internal surgical textbook videos in several hospitals, and also added several unstarted professional skills.
Back at the hospital, slept all afternoon, got up for dinner, because it was a night shift.
6 o'clock on time for the shift to be handed over.
There was only one anesthesiologist, 3 nurses, and Jiang Yan and three other doctors left in the entire emergency room. There are no patients at this point, so it seems a little deserted.
It wasn't until seven o'clock that a few patients came to the emergency department, but they were all minor illnesses such as fever, cold, and diarrhea, and they could be prescribed some medicine or infusion, and there were no patients who needed surgery.
At 8 o'clock in the evening, the emergency department finally welcomed the first patient who needed surgery.
The patient, a man in his mid-30s, presents with sudden onset of pain in the right upper quadrant radiating to the back of the right shoulder, tenderness in the right upper quadrant, nausea, vomiting and fever. I measured my blood pressure and found that my blood pressure was dropping!
Jiang Yan is worthy of being a high-achieving student, and he has also been an attending doctor in a world-famous hospital for a year, so he quickly judged that he should have acute cholecystitis.
"Immediately give him a routine blood test, B-ultrasound and CT examination!" Jiang Yan said.
When the test results came back, the patient was in shock.
Anyway, Yang Xuan on the side was panicked, if he encountered this situation, it was estimated that he would have no master of the six gods a long time ago.
"Director Jiang, the patient is in shock, what should I do?" Nurse Lin Jing'er asked anxiously.
"It's okay, it's just viral shock, sent to the operating room, ready for cholecystectomy!" After reading the inspection report, Jiang Yan said lightly.
"Laparoscopy or traditional surgery?" Hou Quanhai couldn't help but ask. There are three surgical options for cholecystectomy.
"You go and ask the patient's family and ask them to sign the consent form for the operation."
"Okay."
Hou Quanhai took a consent form for surgery and then talked to the patient's family.
This family member is a woman and is supposed to be the patient's wife.
"You're a family member of a patient, aren't you?"
"Yes, yes, is my husband okay?"
"He had acute cholecystitis and needed immediate surgery. There are three surgical options, the first is a traditional open cholecystectomy, the second is a small incision cholecystectomy, and the third is a laparoscopic cholecystectomy. Which one do you choose? Hou Quanhai asked.
"Huh? I don't understand this, which one is better? The woman hurriedly asked, panicking as soon as she heard that she was going to have surgery.
"Of course, the third type of laparoscopy is the best, with a small wound and a quick recovery. However, the surgery fee is also the most expensive, costing 20,000 yuan. And this does not include hospitalization and post-operative medications, as well as other expenses. Hou Quanhai patiently explained.
Cholecystectomy laparoscopic surgery charges differently in each place, and in a metropolis like Wuzhou, or a big hospital like this, the fee of 20,000 yuan is basically the same price.
If it is a second-tier city or even a third-tier city, some hospitals in their early 10,000s are fine.
"Huh? So expensive! The woman was visibly shocked when she heard this. The 20,000 yuan is only the operation fee, not including the hospitalization fee, postoperative medication recovery, etc., which means that the total cost in the end must be more than 20,000, or even 30,000 or 40,000 yuan.