"Honey, when I'm healed, you'll marry me, okay?"

She had long wanted to have a real home.

It is an ordinary thing for a normal woman to get married and have children, but it is a luxury for her. It's been almost three years since she ran in love with Zhou Can, and she wants to achieve positive results as soon as possible.

In the past three years, her career has been very successful.

Even now, after most of her job, she still earns a decent income.

Some of her classic old songs are still popular today. One of her recent new songs has become popular again, which has also made her popularity high.

The live broadcast on Douyin made her a lot of money.

Su Qianqian did a particularly good job.

No matter how rich she is, she has never become a material woman, she has always pursued her music and lived a simple life.

"Hate to marry?"

Zhou Can laughed and teased her.

"You hate to marry!" She rolled her eyes.

"Why don't we go to the Civil Affairs Bureau tomorrow to get the certificate?" Zhou Can has also been looking forward to marriage for a long time.

Now both of them have good careers, and they basically lack nothing.

After getting married and giving birth to two babies, your life will be complete.

"Hey, you're not, aren't you? Marriage is a major event in life, and it is only once in a lifetime, no matter how simple it is, you have to call the relatives and elders of both sides together and hold a wedding to welcome me through the door! ”

She pouted in protest.

"Who said that if you get a certificate, you won't have a wedding? This doesn't mean that you are anxious, and you have taken the testimony, in the legal sense, I am your husband, and you are my wife. Wedding is a kind of ceremony, a kind of etiquette, and it is also the blessing of many relatives and friends to our love. ”

Zhou Can has a unique understanding of many things.

Don't conform to the herd, don't be on the table.

"When the time comes, I will hold a grand wedding, and the scenery will marry you into the door."

He has the financial power to do so.

"Hehe, that's pretty much it. I thought you men wouldn't admit it after wiping their mouths after eating! She smiled wistfully.

As long as conditions permit, I believe that every woman hopes to have a grand wedding and live happily for a lifetime.

……

The next morning, Zhou Can couldn't bear to wake up his sleeping girlfriend after all. Left a note and drove to work.

After she woke up, let Wei Fang accompany her to Tuya Hospital for examination.

The nephrology department is almost all Zhou Can's acquaintances, and when the time comes, Su Qianqian doesn't even need to queue up.

After rushing to the emergency department of the hospital, Zhou Can went to the inpatient ward for bed checks as usual.

Although there are now two full-fledged residents Lin Ping and Jiang Shuangshuang managing the patients in the ward, Zhou Can still doesn't dare to take it lightly. In the process of daily ward rounds, he always finds that hidden dangers will be dealt with as soon as possible.

Dr. Lin Ping's qualifications are older than Zhou Can's, but his level is far worse than Zhou Can's.

There are many problems that Lin Ping can't find at all.

Medication and correction of doctors' orders, Lin Ping will only follow the script, and copy the routine.

It's not possible to use it flexibly, let alone make optimization adjustments.

I have to say that a doctor with mediocre talent like Lin Ping can only do some real work. Expectations for them can't be too high. This kind of person is better than being honest and steady.

For example, let him be in charge of managing the inpatient ward, without worrying about them dereliction of duty and disobedience.

Everything explained can be carried out in place.

The newcomer Jiang Shuangshuang, because there is still very little contact, Zhou Can still doesn't know what the level is.

I came here today because it was relatively early, and it happened to be Jiang Shuang's night shift, and there was no shift for the time being. gave Zhou Can a chance to get to know her.

"Doctor Zhou, it's early!"

She was recording the amount of urine after surgery at a patient's bedside, and as soon as she got up, she found Zhou Can walking into the ward.

So he greeted Zhou Can with a smile.

Almost everyone in the emergency department knows that Zhou Can's status is extremely high, even more than the average attending officer.

When the residents met him, they were all very enthusiastic.

"Morning!"

Zhou Can nodded in response.

He has now received a formal employment contract with the hospital, and he is a junior resident with three certificates.

and Jiang Shuang are at the same level.

In fact, she has been working for more than two years, and as long as she completes three years, she will be automatically promoted to a senior resident.

In terms of qualifications, it is a little higher than Zhou Can.

"How's this patient's temperature?"

Zhou Can didn't ask about the amount of urine, but asked about body temperature, which had his own deep meaning.

Each patient's surgery is different, the condition is different, and the signs that need to be paid attention to are also different.

"I measured it just now, 37.1 degrees, low-grade fever."

She was stunned for a moment before answering.

"Did you take the patient's temperature every three hours last night?"

Zhou Can casually picked up the record sheet to check it.

Many people don't understand why doctors can deliberately fix nurses. Doctor's orders are one of the most important tools.

Especially for senior residents, even if the medical orders are given in front of the attending doctor, they are authoritative and weighty. Even if the nurse throws her face and asks the doctor to change the unreasonableness, the doctor can completely disagree.

For example, the patient's blood pressure and body temperature should be measured every two hours at night, and the urine output should be recorded every half an hour. Just one patient is enough to make the nurse on the night shift unable to squint all night.

The nurse did not follow the doctor's instructions, and the doctor did not even need to go to the nursing department to complain when the doctor made rounds the next day, as long as she asked her superiors to mention it, and she was guaranteed to be scolded and cried.

If something happens to the patient, it's even worse.

A hat of dereliction of duty was buttoned down, and it was useless for the nurse to even kneel and cry out for grievances.

As long as there is an accident, almost all hospitals are filled with pawns to protect the commander, give priority to the doctors, and abandon the nurses. Priority is given to higher-level doctors, and internships and trainees are abandoned.

This has to do with many units, and temporary workers do the same thing.

The reality is so cruel.

However, I must remind newcomers here that many head nurses have a backstage, so don't mess with them. A head nurse who you don't like may be the dean's lover, and even gave birth to an illegitimate child for him.

Provoking her is basically equivalent to looking for death.

This is also why the head nurse of many departments is sometimes better than the chief physician.

The backstage is hard, no way!

Jiang Shuangshuang is not a nurse, but as a bedside doctor, there are some things that she must do herself. For example, this kind of monitoring of key patients.

A clinical physician is certainly better than a nurse when dealing with a patient's condition.

"I ...... I slept on my stomach in the duty room last night, and I didn't measure my temperature at three o'clock in the morning. Because at 12 o'clock in the evening, I took the patient's temperature, which was about 37.8 degrees Celsius, which is a low-grade fever and there is not much risk. ”

Her face flushed when she said this.

did not follow Zhou Can's medical instructions, which was her dereliction of duty.

Don't look at the fact that the two are at the same level, Zhou Can's medical advice is actually equivalent to the medical order given by a senior doctor. She only has the share of execution.

Of course, if there is an obvious mistake, it can be pointed out in time and reported to the senior doctor.

"It's really hard to be on duty at night, understandable."

Zhou Can saw that she was a female doctor, but she didn't criticize her.

"Next time you want to squint for a while, you can ask a nurse to do it for you."

"I just arrived, and I didn't know the nurses well, so I was too embarrassed to open this mouth. The patient's body temperature was 37.8 degrees at 12 o'clock last night, and it dropped to 37.1 degrees this morning, indicating that the fever is subsiding. Shouldn't there be any problem, right? ”

Jiang Shuangshuang was a newcomer, thin-skinned, and she was embarrassed to mingle with the nurse on duty and get along well.

In this case, everything has to be done by yourself.

If Zhou Can is on duty this night shift, as long as the patients under management are not in serious condition, he can even sleep until dawn in the duty room. Because of a lot of work, he can ask the nurse on duty at night to help him do it. Or ask the nurse on duty to help keep an eye on the patient, and call him if there is something.

Afterwards, you can ask the nurses to drink a cup of milk tea or invite them to eat some other snacks, and next time you have something, you can guarantee that you will enthusiastically help Zhou Can.

"Some patients have a fever at night, and in the morning, the body temperature drops. That's why I only ask for my temperature to be taken every three hours when I prescribe it. I just looked at his urine output and it was normal. However, the urine is dark yellow, like strong tea, and foamy, so it should not be taken lightly. When you change shifts, you must explain to Dr. Lin and pay more attention to the patient's condition. ”

Zhou Can's clinical experience, diagnostic experience and level are not comparable to Jiang Shuangshuang.

Jiang Shuangshuang didn't know the mechanism, but he saw the danger lurking.

"Okay! I'll definitely pay attention in the future. ”

She agreed, sticking out her tongue.

I really didn't expect a careless oversight, and the problem was quite serious.

Zhou Can personally inquired about the patient's condition, and then continued to check the next bed.

……

In the emergency inpatient ward, six beds have now been added, and in the corridor outside, eight beds have been added and beds are still tight.

With only 14 beds in total, the total number of surgeries in the emergency department is as high as 40 or 50 a day.

Zhou Can's team alone has twenty or thirty surgeries a day.

A dozen beds are really difficult to turn.

It is estimated that 30 beds will be needed to alleviate the current demand for surgical patients in the emergency department.

As for the patients in the internal medicine department, the emergency department was simply weak, and after trying to admit a few people, they simply gave up.

Because it's not cost-effective.

For difficult medical patients, the level of emergency physicians is limited, and the cure rate is not high. It is inefficient and prone to patient complaints.

Then the internal medicine patients seemed to be charged a lot for medication, but after the actual operation, it was found that the treatment fees of these internal medicine patients admitted to the emergency department were kept low.

Those internal medicine patients who use imported drugs and expensive drugs want to accept them in the emergency department, but unfortunately they don't have the ability.

Basically, the symptoms of those patients are very serious, and their conditions are complicated, even if Deputy Director Han goes into battle with his arm in person, it is also a big one. Just sweating, but you can't come up with a truly effective treatment plan.

In case of a whole life, it will really be a loss to the lady and the army.

As a result, Director Lou, Deputy Director Han and others discussed that they would simply not admit internal medicine patients for the time being.

There are really some acute and serious cases, and they are also temporarily admitted to the emergency intensive care unit, and then wait for the specialist to accept the person.

The emergency department has always played the role of a transit point.

A good doctor can bring up a department, it's really not nonsense.

Look at Zhou Can's return to the emergency department, the surgical performance of the emergency department has skyrocketed, and the reputation has risen instead of falling, isn't this Zhou Can's credit?

"Doctor Zhou, wait!"

After Zhou Can checked the room and was about to go to the operating room, Jiang Shuangshuang chased after him from behind.

"Is there anything else?"

Zhou Can looked at her suspiciously.

"The patient who added bed No. 6 had a small temperature last night, I'm sorry."

She apologized earnestly.

This girl, yes, is as simple as a blank sheet of paper. It's more than ten times better than those old fritters.

There are currently only four full-fledged beds in the emergency department, and the rest are extra beds.

That's why it's called extra bed 6.

"Don't blame yourself too much, it's over. I've also worked night shifts, and I'm really sleepy and can't open my eyes, so I can understand you. Just don't be careless in the future. Just now in the ward, in front of patients and their families, there are some things that I can't say for me. The patient should be especially careful for fear of organ failure or myocarditis. For patients with this kind of major surgery, the postoperative complications are the most terrible. ”

When Zhou Can talked about the hidden dangers of the patient, he looked serious.

"Ah...... It's that serious! Thankfully, nothing happened last night, otherwise I would have had to change my career. ”

Her face was afraid, and her expression became nervous.

"Don't worry too much, as long as you detect potential risks in time and nip the crisis in the cradle, you can generally help patients get through the difficulties safely. Minimize postoperative complications. ”

Whether Zhou Can interacts with people or works with people, the most important thing is character.

Competence is secondary.

Jiang Shuangshuang's words and deeds made Zhou Can have a good impression of this simple young female doctor. At least it's worth cultivating.

The inpatient ward of the emergency department is closely related to the operating room.

The management of the inpatient ward is not in place, and no matter how beautifully the operation is done in the operating room, it is in vain.

As long as she grows up, she can be trusted.

Therefore, Zhou Can is happy to give her the greatest tolerance.

Give her enough time and opportunities to grow.

"You said that the patient probably had a very high temperature at three or four o'clock in the morning yesterday?"

She still didn't understand it.

"You haven't been in an inpatient ward before?"

Zhou Can did not answer the rhetorical question.

"It's done! What internist didn't grow up as a bedside doctor? She puffed up her not-so-spectacular breasts with a little pride.

Starting as interns, clinicians go through bed-tube tasks.

In the beginning, there is usually a senior doctor.

"And are you on the night shift when you're in charge of the bed?"

Zhou Can continued to ask.

"It's worth it! It's just not worth much. ”

She replied.

"Then you can carefully observe the changes in the patient's body temperature when you are on the night shift in the future. There are a small number of patients who do not have a fever during the day, and when it comes to night, their body temperature will continue to rise. There are even patients who are fine during the day, but have a high fever and convulsions at night. At that time, the doctor on duty was paralyzed and careless, and the family members were too sleepy to find out in time. Eventually, the patient passed away. ”

Zhou Can shared some of his observations with her.

Some of them were taught by the chief physicians by word of mouth.

(End of chapter)