Chapter 82: There is no way to treat them differently
"What if it's gastrointestinal bleeding?"
"Then you should take a high head and low foot position to let the blood flow to the abdominal cavity, stabilize the lower back, and avoid hugging the chest and abdomen, so as not to aggravate the bleeding."
Director Zhu asked quickly, and Chen Qi answered quickly, this question and answer seemed simple, but it tested a student not only to have solid theoretical knowledge, but also to have clinical thinking that is adaptable.
The layman looked at the doorway, the insider looked at the level, and several other directors and directors present nodded secretly.
Director Zhu took a deep look at Chen Qi, glanced at the three university interns with dissatisfaction, and pulled another wave of hatred for Chen Qi.
The patient's family is not stupid, and when they heard that the doctor seemed to be studying the student, they knew that their condition would not be too serious, so they also relaxed and asked cautiously:
"Doctor, can my husband drink crucian carp soup? Hair or not? ”
The people here in Vietnam and China will have a lot of taboos when they are sick, which is the legendary "hair thing", such as mutton, fish, seafood, shrimp, crab, goose and so on.
Therefore, after seeing a doctor, I will specifically ask which foods I can't eat, for fear that eating them will affect my condition.
Crucian carp tofu soup is generally eaten more for mothers who have just given birth to babies, and this milk is good, but for patients with ruptured spleen, this Director Zhu is not very clear.
It doesn't matter if the teacher doesn't know, test the students.
Director Zhu pinned his hopes on a few college students: "Come, you three classmates, can you drink crucian carp soup?" ”
Ai Kelong hurriedly said: "You can drink it, crucian carp soup is nutritious, and surgical patients should strengthen their nutrition." ”
Zhang Jun shook his head again and again: "You can't drink it, it's a hair thing." ”
Director Zhu asked: "Why is it a hair thing?" What is pathophysiology? ”
Zhang Jun was speechless again, and pulled Lu Yuehua next to him like a helper.
Lu Yuehua shook his head directly: "Director, I don't know about this question, but I will definitely check the information after work." ”
Suddenly, a voice came from behind him:
"There is no need to check the information, fish and fish soup surgery patients should eat less, it is better not to eat, because fish contains arachidonic acid, which will be converted into prostaglandins in the human body, which will then affect platelet aggregation and affect incision healing."
Zhang Jun and Ai Kelong turned their heads at the same time, in addition to surprise, there was also a kind of jealousy in their eyes.
People who can be admitted to the university have absolutely no problem with their IQ, even if their EQ is low, they can see that the strength of this secondary school intern is far more powerful than they think, and it seems that they will have to pay attention to it in the future.
Lu Yuehua also turned his head, looked at the secondary school student who was troubled by his classmates yesterday and nodded: "I don't know if you answered correctly, I will check the information when I go back." ”
Chen Qi shrugged and didn't speak.
A subtle smile flashed at the corner of Director Zhu's mouth, and he replied to the patient's family:
"Hear me, this Dr. Xiao Chen has already answered you."
The family members hurriedly smiled and thanked: "You can know it with such an explanation, anyway, you can't drink it, Cheng, then you won't drink it, fortunately I asked, thank you for this Dr. Chen." ”
The Department of Surgery has a total of 40 beds, and if you change the internist to check it, you can't stop until noon.
However, the surgeon's rounds are too simple, and he usually enters the ward and asks, "Bed X, how do you feel today?" ”
Patient: "It's okay, it's okay. ”
"Cheng, if you feel uncomfortable, tell us, let's go."
Yes, just a few words, it's over.
If it weren't for the teaching rounds today, Director Zhu would have asked some questions from time to time, otherwise the general 40-bed ward rounds would not have lasted more than half an hour.
After all the patients walked around, Director Zhu was the first to leave, surgeon, a lot of surgeries waiting for him.
As soon as Director Zhu left, Director Jin Peilin was the boss, and Director Jin ordered Lu Yuehua, the intern doctor he taught: "Go, go with me for surgery." ”
After a while, Zhang Jun and Ai Kelong also followed their teachers to the operating room.
There are only a few young doctors left in the department, as well as two interns, Chen Qi and Lan Lijuan.
Lan Lijuan was a little unbalanced at this time, "Squad Leader Chen, how can they go on stage and have surgery on the first day of registration, but we have to stay in the ward?" ”
Chen Qi knows too much about the unspoken rules of the workplace inside this kind of hospital, and he is very calm:
"Don't worry, people went to the university hospital for internship when they were in school, and then interned for half a year, and they must have entered the operating room, so they can be used as assistants on stage as soon as they come, and we don't understand anything, so we can only stay in the ward to do small work."
Lan Lijuan was still unconvinced: "What do you mean we don't understand, I think you obviously understand better than their college students just now." ”
Chen Qi sighed: "Alas, it's gold that always shines. ”
Doctor Yi next to him burst out laughing:
"Okay, don't sigh at the two big golds, aren't all internships like this, there are a lot of things today, you go with me to learn to change the medicine first, and if you change the medicine, you have to take the course of the disease record, I will teach it a few times, and you will do all this work in the future."
Chen Qi said to Lan Lijuan with a bitter face:
"See, change the dressing, write the medical record, this is the routine operation of the intern, hurry up and work hard, these jobs alone are enough for us to do it from morning to night."
Lan Lijuan didn't care, as long as she could get started, she was full of motivation:
"Okay, Mr. Yi, you can arrange it, we have learned all the dressing changes and writing the course of illness records in school, no problem."
Chen Qi raised his hand at this time: "Teacher Yi, I don't have to learn to change the dressing, or you take Lan Lijuan to learn the change of dressing, and the rest of the beds will be handed over to me, so that the efficiency can be improved." ”
Yi Zewen agreed without thinking about it: "Cheng, the dressing change tools are all in the operation room, if you are not sure about anything, just call me." ”
Chen Qi walked into the operation room, and after looking for a long time but didn't find sterile gloves, he stuck out his head and asked, "Head nurse, why don't you have sterile gloves?" ”
Wang Xiaoyan, the head nurse, also stuck her head out of the infusion room:
"You kid, this is not an operating room, what kind of sterile gloves do you use? How expensive are the gloves, you just wash your hands. ”
Chen Qi, who was accustomed to strict aseptic operation in his previous life, was a little uncomfortable all of a sudden, and he didn't use gloves? Bare-handed? He is not afraid that patients will be cross-infected, he is afraid that he will be infected by some patients.
But there was no way, the conditions of the hospital in 1982 were so simple, and he even saw dirt outside a few curved plates that had not been cleaned.
This was in the hospital in his previous life, and he was discovered by the people in the hospital's infectious disease department, and he had to tear the doctors and nurses alive.
In this way, Chen Qi took two curved plates, some sterile gauze, sterilized cotton balls, cameras, scissors and other tools, and began a hard internship career.
I was busy until noon, bending over for a long time, and my waist almost broke.