At 6 p.m., the emergency department is on duty.

Tang Yongming routinely stood in front of a team of emergency doctors, "Today's work is not bad on the whole. ”

Glancing at Tang Yi standing at the back of the line, the corners of Tang Yongming's mouth couldn't help but rise, "Compared with the past, our department has one more chief surgeon who can do laparoscopic appendectomy, and that is Tang Yi, Doctor Tang." ”

When the doctors who were just about to shift heard Tang Yongming's words, they couldn't help but turn their heads to look behind them.

"Who is Tang Yi?"

"It's been three years since laparoscopic technology was introduced, right?"

"Well, almost! Is the hospital going to be reformed? ”

"Probably not, you see that he is so young, the so-called laparoscopic surgery, it is estimated that it is only in the theoretical stage, and he has no real skills."

……

Listening to the discussion below, Tang Yongming coughed dryly, "Until this morning, Comrade Xiao Tang has performed a total of 5 laparoscopic appendix surgeries. ”

Guoyitang belongs to the hospital of traditional Chinese medicine, and in the subconscious of Chinese people, they think that noon is just soup and water, and they don't know anything about surgery. 、

It is precisely because of this preconceived idea that there are not many people who choose to have appendectomy surgery in the National Medical Hall.

Five appendiceal surgeries were performed in one day, which really surprised the doctors present.

Tang Yongming had a spring breeze smile on his face, "Xiao Tang, when I was washing the director's office during the day, I told you that I wanted to arrange a student for you, and you agreed at that time." ”

Tang Yi nodded lightly, "Well, I naturally remember this." ”

"Originally, I thought you would bring out a doctor, but in the afternoon, I thought about it again. The emergency department is in 24-hour shifts. In addition, you are in a special situation and are often absent from the department. You teach three doctors, so that the needs of the department can be met to the greatest extent, and the daily patient volume is enough for everyone to get hands-on. What Tang Yongming wanted was Tang Yi's words.

A sheep is a release, a group of sheep is also raised, it doesn't matter how much you bring or how little, the more people, it means that the greater the competition, and it is easy to respond to teaching. Thinking of this, Tang Yi nodded lightly, and he agreed.

Confirmed by Tang Yi, many young doctors were eager to try.

These people can stay in the National Medical Hall, and none of them are fools.

Laparoscopic appendectomy is just a very simple procedure, but it is a big step forward in the direction of modern Western medicine in the emergency department of the National Medical Center.

If you master this technique, no matter how the National Medical Hall is reformed in the future, at least you will not be one of the ones who will be abandoned in the reform.

Although these people love Chinese medicine and want to carry it forward, compared to their own jobs, love and ideals are just empty buildings.

"Director Tang, I want to learn laparoscopic surgery!"

"Director Tang, choose me, choose me!"

"Director, I usually have nothing to do in the hospital, and I have plenty of time to study with Dr. Tang!"

……

Seeing a group of doctors enthusiastically sign up, Tang Yongming leaked a smile from the bottom of his heart, "Everyone is very active, and they all have a heart to keep learning, which is very good." But there are only so many resources in the hospital, and it is impossible to satisfy everyone. ”

Clearing his throat, Tang Yongming picked up the list next to him, and glanced at the eager people again, "Next, I will follow Tang Yi to learn laparoscopic surgery after I name the doctor who named him." Niu Qun, Shi Yan, Yan Lei, the three of you will not have any serious patients in the future, so you will follow Tang Yi to learn surgery. ”

Hearing that the director had finished announcing the list, some people were happy and some were worried.

Everyone's expressions naturally couldn't escape Tang Yongming's eyes, "As for the others, don't be discouraged, Tang Yi is in the hospital, and he can't run, so ah, everyone who really wants to learn doesn't have to worry, everyone has a chance." The three of you must study hard, ask for advice with an open mind, and don't put on a posture of predecessors. ”

The cows in the crowd glanced back at Tang Yi behind him, and the corners of his mouth raised a nonchalant smile, as if he was mocking, as if he was silently narrating.

Shi Yan raised his head high, turned his head to Tang Yi, and closed his lips one by one, boy, I see what you should do now?

After reading the meaning expressed by Shi Yan's mouth, Tang Yi's face was even more disdainful, "Stupid, just you?" If you want to learn laparoscopic surgery, in a few years! ”

Shi Yan immediately understood Tang Yi's mouth shape, and was indignant in his heart, "Director, it's too late for us to be happy to be able to learn laparoscopic surgery, how can we not study it seriously, but I'm afraid that Dr. Tang won't teach well." ”

The doctors who understood the meaning were full of worries. Yes, technology is people's own, whether to teach it or not, and to what extent, it depends entirely on the individual.

Unlike other professions, doctors have the same importance of theoretical knowledge as practice, and sometimes experience can save a patient's life at a critical time.

Tang Yongming turned his head to look at Shi Yan, his brows furrowed, and just as he was about to speak, Tang Yi's voice suddenly sounded.

"There is nothing wrong with teaching laparotomy, but only if the doctor can accurately judge the patient's condition and not confuse ectopic pregnancy with appendicitis, or diagnose only one condition and ignore the other. And I don't think Dr. Shi Yanyan has the ability to learn laparoscopic surgery. Tang Yi looked directly at Tang Yongming without the slightest timidity.

"Tang Yi, what do you mean by that? Why can't I learn laparoscopic surgery" Thinking of the patient at noon, Shi Yan looked frightened.

Tang Yongming's face is ugly, very ugly, if it is really as Tang Yi said, he can't even distinguish the most basic diseases, or even make mistakes, what kind of consequences will there be, as the chief doctor, he couldn't be clearer, "Tell me, what's going on?" ”

Standing at the front of the line, he sighed in his heart, "I'll tell you about this matter!" ”

Tang Yongming saw Xi Leadhua stand up and nodded lightly.

"At noon, a seventeen-year-old girl came to the emergency room. Dr. Shi diagnosed it as a purulent appendix. Glancing at the colleagues around him, he continued, "Let me tell you here that laparoscopic appendectomy is a minimally invasive surgery, and the treatment effect for purulent appendices is not ideal, especially for patients with severe suppuration. ”

Tang Yongming heard this, is it time to say this? What I want to know is what exactly happened in the afternoon," said Deputy Director Xi. ”

"I'm worried that some doctors in our department don't understand, and after communicating with the patient, they find that they can't do laparoscopic surgery, and the patient and his family are unwilling to do it at that time." Xi Jianhua smiled, and then said, "The patient came to our emergency department, and after Dr. Shi's diagnosis of purulent appendicitis, he recommended laparoscopic surgery to the patient. This is just a cognitive error on the part of Dr. Shi, which is completely understandable. ”

Cognitive errors? MD, of course I know that purulent appendix can't be operated on laparoscopically, and I just deliberately embarrassed Tang Yi. But Shi Yan couldn't say this directly, so he could only smash his teeth and swallow it in his stomach. Bitterness can't be said,

Speaking of this, Hua paused, "Later, Tang Yi and I went to the emergency room, and after diagnosis, it was found that the girl not only had a purulent appendix, but the most fatal thing was that she was also pregnant, and it was the most dangerous ectopic pregnancy. The fertilized egg has been implanted in the fallopian tube for more than a month. The doctors present are all doctors, and I believe you can understand the extent of the danger without me talking too much. ”

Shi Yan's face turned pale and argued, "Later, didn't I also diagnose her as pregnant?" You and Tang Yi also said that I was wrong in judgment! ”

"Enough!" Wash Lead's face was ugly, "Don't you understand why we said that you had a wrong diagnosis at that time?" ”

"It was in the emergency room, dozens of pairs of eyes staring. When you say on the spot that a patient is pregnant, do you feel justified? The patient is only 17 years old, if the matter spreads, how can you ask her to raise her head and behave in the future? Wash the lead Hua in a stern tone.

"What's the matter with me? It's because she doesn't love herself, and she deserves to be known! Shi Yan still didn't realize his mistake. 、

When Xi Jianhua heard this, his face was gloomy, "Director Tang, you heard what Shi Yan said just now, I suggest that Dr. Shi's contract be terminated." ”

One stone stirred up a thousand waves, and the medical staff present were full of disbelief.

Just because he contradicted a few words about Wash Lead, is Director Xi going to fire Dr. Shi? That's too ruthless!

A herd that had a good relationship with Shi Yan took a step forward at this time, and just as he wanted to say something, he was pulled by another doctor.

Not everyone can't understand the intention of Wash Lead, and there are always a few old doctors who understand why Wash Lead Hua did it.

When Shi Yan heard that the contract was going to be terminated, he was completely panicked, "Why?" Why did you expel me? ”

"Do you want to know why? Well, I'll tell you! He walked out of the team and faced all the doctors in the emergency department, "First, I am not good at learning and have made common-sense mistakes. Second, the diagnosis is wrong and incomplete. If Tang Yi and I hadn't made a further diagnosis at that time, what would have happened if the patient had been put on the operating table and only had his appendix removed? ”

The patient's abdominal pain was resolved, and a few days after she was discharged from the hospital, she suffered from heavy bleeding due to an ectopic pregnancy, which directly threatened her life. If you are a heartless doctor, you can continue to work with peace of mind. If the patient's family comes to the hospital to make trouble, the hospital will carry it on your shoulder, and at most it will be punished. Xi Jianhua looked at the group of medical staff below, "As a doctor, you must have a conscience, this is not only said to Dr. Shi, but also to some of you in the venue. ”

"Thirdly, the patient's condition is not to be known to anyone other than the patient and his immediate family members, in accordance with the principle of confidentiality. At that time, I repeatedly gave you a deaf ear, and you repeatedly emphasized that your diagnosis was correct in front of so many people, was it wrong? ”

"Comrades, we are doctors, and the guidelines of doctors must be kept in mind, and we must not ruin a family on impulse because of our own face."

After listening to Xi Jianhua's statement, many people present lowered their heads.

Many times when they meet some interesting patients, they will treat them as after-dinner conversations, completely unaware of the possible consequences.

"Tang, Director Tang, I was wrong, give me another chance! I, I'm not going to make such a low-level mistake in the future. Shi Yan only realized the seriousness of the matter at this time, and prayed to quickly admit his mistake.

Tang Yongming's face was gloomy, and he glared at Shi Yan fiercely, "Director Xi, you also know that our emergency department is short of people now, although Shi Yan is not good at learning, he has made mistakes." Fortunately, you and Tang Yi found out in time and avoided a serious medical accident, and the dismissal was a bit too much. Shi Yan has realized his mistake, so this month, Shi Yan's performance appraisal is D, write a 1000-word review, what do you think? ”

Seeing Tang Yongming open his mouth to plead, he nodded lightly, which was considered to be an agreement.