Chapter 12 Doctors Must Have Medical Ethics (Ask for Collections and Recommend Votes)
(Finally there's a recommendation.,It looks like a collection in general.,Ask for collection support.,Recommendation votes are too few.,Everyone,What about our recommended votes?,Smash it over!) )……
Zhang Hua was in a very bad mood, and he was angry with Liu Qiu, and the fire in his heart was even greater.
Several attending physicians in the department saw that Zhang Hua was in a bad mood and didn't stay, Zhang Hua took the case record, looked through it, and went out to check the ward in a bad mood.
The intern and the attending physician became the object of his venting, and even more so for the intern, even more so when the patient was fine, Zhang Hua would find out the slightest bit of bad and reprimand the attending physician, even more so for the intern.
"How is this recorded, you can't even do a good job of medical records in your internship, and you still want to be a doctor!"
"It's a simple drug reaction, it's not clear, how do you do it."
“……。”
After checking several wards in a row, Zhang Hua always found various reasons to take the opportunity to reprimand. Those interns and attending physicians also knew that Director Zhang Hua was in a bad mood, and although he was reluctant in his heart, he couldn't show it.
When I found Ward 708, I met that the nurse had just hung up a drip for a patient near the door.
Zhao Yihua, the attending physician in charge of the 69-year-old patient with a lung infection, Zhang Hua came here on rounds, took the medical records, and said: "The lung infection, it's already the second day, and the injection of ceftriaxone and levofloxacin for anti-infection treatment and rehydration ......." ”
When Zhang Hua spoke, the patient coughed a few times, and his voice was slightly hoarse.
"What about body temperature?" Zhang Hua asked.
"It has been lowered, and the respiratory condition has improved." Zhao Yihua said.
Zhang Hua's face was gloomy, and he said: "Hasn't the respiratory tract improved, why is his voice still hoarse, and his cough does not seem to have improved much, if the conventional treatment methods do not improve, consider increasing antibiotics to improve the infection status, you don't always stick to the old rules, just treat the patient according to the book." ”
Zhao Yihua's temper is recognized as good, even if Zhang Hua's attitude is not good, Zhao Yihua still nodded vigorously and said, "Director, I know." ”
The patient was lying on the bed and coughed again, this time the cough was like a dog barking, Zhao Yihua's face changed, and he had a bad feeling.
He reached the patient, who suddenly lost his voice, and only pointed to his own throat.
"Phlegm blockage or tracheal spasm, immediately prepare to suction, oxygen!" Zhang Hua immediately made a rescue order.
Zhao Yihua also agrees with the director's opinion, because the patient still has diabetes and cannot inject hormones into him, this rescue method is the most suitable at present, and at the same time, blood gas analysis should be done .......
Several interns were next to the ward, and the nurses ran outside the ward, ready to give first aid to the patients.
"Director Zhang, don't forget to inform the morgue." Chen Yang's voice came in from the door, accompanied by the smell of wine on Chen Yang's body, the smell of wine could not be eliminated in a while.
The hospital stipulates that alcohol is not allowed, but Chen Yang appeared in the ward drunk, which inevitably attracted the discussion of the patients and family members who were also hospitalized in the ward.
"Who is this, why are you still drinking?"
"yes, it's so unusual, how can you get drunk in the ward."
The patients and family members in the ward said anything, and although Chen Yang was not wearing a white coat, he could be with the doctor, so he must also be from the hospital.
Zhang Hua heard Chen Yang's voice, his anger rushed to his head, he had already suffered a belly of anger in Liu Qiu today, and he didn't expect Chen Yang to come to the door to oppose him.
Zhang Hua is the director of the Department of General Internal Medicine, and when he was in the Department of General Internal Medicine before, he said that he was not the same, where would he be so angry as today, it was after Chen Yang arrived, he was full of anger.
"What nonsense is a drunk person talking about here, there is nothing to do with you here, we are rescuing, if you delay the rescue, you will be held responsible."
"With your kind of rescue method, it's just an hour or two in advance to notify the morgue."
Zhang Hua couldn't stand it anymore, and rushed to Chen Yang angrily, a man in his forties and fifties, his anger completely burst out, his right hand grabbed the collar of Chen Yang's clothes, and no one in the department had ever seen Director Zhang's abnormality.
"Chen Yang, you listen to me, I am the director of the Department of General Internal Medicine, I have been practicing medicine for decades, I have cured more patients than you have seen, you are a young ignorant boy who has been abroad for a few years and has come back, don't point fingers in front of me, I don't care what backing you have, here, pay attention to strength ......."
As soon as Chen Yang spoke, he was filled with the smell of wine, and he deliberately exhaled a breath of wine at Zhang Hua, who turned his face to the side, not wanting to smell the smell of wine.
"Director Zhang, I'm here to save you, think about it, if you treat a patient to death, how should you explain to the patient's family, you are a person, then the patient is not a person, don't wait for the patient to die, you use 'a sentence of trying, nothing can be done' to shirk responsibility, death is death, your heart will not be forgiven, you will carry a heavy cross!"
The cynical expression on Chen Yang's face disappeared, and he was solemn as he had never been, and he shook Zhang Hua's hand vigorously and shouted, "Get out of the way." ”
Zhang Hua was thrown aside by Chen Yang, strode over, and asked, "Has the patient done a penicillin skin test?" ”
Ceftriaxone is a penicillin drug, and it is necessary to do a skin test for the patient to ask whether the patient has a history of penicillin allergy, which is the routine of the hospital, and doctors and nurses attach great importance to this.
"Yes, the patient was negative and had no history of penicillin allergy." The nurse agreed.
"Then he is the unlucky rare case, laryngeal edema caused by penicillin allergy, immediately inject epinephrine hydrochloride!"
"Nonsense!" Zhang Hua shouted, went to the bed, and scolded: "You drunkard, don't mess around here, I am the director of the Department of General Internal Medicine, who do you think you are, pointing fingers here, get out of here immediately." ”
Zhang Hua does not allow anyone to challenge his authority, he is the director, and he should have absolute authority in the general internal medicine.
When Zhang Hua spoke, the patient had symptoms such as difficulty breathing and wheezing in the larynx.
Chen Yang ignored Zhang Hua, turned to Zhao Yihua next to him, and shouted: "Don't give first aid yet, after he dies, will you come to do an autopsy to prove what kind of illness it is?" ”
Zhao Yihua reacted and immediately gave first aid.
Zhang Hua was annoyed and angry, and shouted: "Doctor Zhao, you have to understand what you are doing, you are killing someone!" ”
"Does the patient have a lot of phlegm or does the patient experience sudden symptoms of tracheal spasm? Although the patient could not speak, his hand told us that he had a problem with his throat. Director Zhang, people will lie, we not only have to listen but also watch, I don't want you to be like me, because of your own mistakes, forever burdened. ”
When Chen Yang walked out of the ward, Xu Feifei, who was standing at the door, gave Chen Yang a thumbs up and whispered: "So handsome, I like that sentence that people will lie!" ”
Chen Yang made an exception and didn't argue with Xu Feifei, so he didn't even do his habitual throwing a peanut bean into his mouth, and walked to the elevator with a lonely expression.
Xu Feifei looked at Chen Yang's back, and always felt that this back was very lonely and heavy, different from the previous Chen Yang.
What was in his heart? Why is it said that he will be burdened, and has he also killed people?
On the other hand, Zhao Yihua treated the patient with laryngeal edema.
First aid equipment such as sputum aspiration machines and ventilators were sent to the ward, and before they could be sent to the emergency room, they were given on-site first aid in the ward.
The interns sit around and take notes, and this first aid experience is important to them, and they may save hundreds of patients in the future.
"There is no phlegm, the patient is not phlegm!" After Zhao Yihua gave laryngeal first aid to the patient, he said to Zhang Hua: "At present, it seems that the patient is suffering from laryngeal edema caused by penicillin allergic reaction!" ”
Zhang Hua nodded weakly and did not speak.
"Eliminate all penicillin medications for patients." Zhao Yihua commanded.
This is currently the most appropriate approach, and the patient can no longer be treated with penicillins and take other antibiotics.
Zhang Hua never could admit that he was wrong, when the patient was rescued, after hearing that Zhao Yihua was diagnosed with laryngeal edema caused by penicillin, Zhang Hua felt that his face was beaten very painfully, and he couldn't wait to find a crack in the ground and not come out again.! ~!
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