The establishment of Shanhe Emergency Center has been in preparation for several years.

After completion, various instruments have been introduced, and there is quite a bit of courage to create a first-class emergency surgery in the province.

In the latest report of the World Health Organization, Xuancheng said: The development of emergency medicine is one of the manifestations of the civilization system of human society.

The development of emergency medicine will also become a powerful protective wall for human health.

In fact, it is.

With the development of medicine, the risk factor of many diseases has been greatly reduced.

But......

Emergencies are treated very slowly.

Why?

Because the treatment of emergencies often involves investment and effort, which is not in line with the profit point of current pharmaceutical companies.

The most fast-growing medical discipline in the world is actually the most profitable discipline.

For example, cerebrovascular disease, heart disease, orthopedics, ...... and other diseases.

But emergency medicine is different!

The input is a lot, but the output is very mediocre.

And some rescue medicine, adrenaline...... and so on, which have been in use for decades, how slow is the pace of innovation?

Oncology drugs, cardiovascular and cerebrovascular drugs, antihypertensive drugs, antibiotics, blood sugar drugs...... These are already unknown how many generations have been updated.

And the rescue drugs, it seems, are still some.

Even the first aid manuals and guidelines we use today haven't changed much since decades ago.

According to the latest data published by the World Health Organization.

Over the years, even the mortality rate of cancer patients has dropped by more than several percentage points, but emergency medicine alone does not seem to have developed much.

Even in many developed countries, the number of people dying from emergency departments is still rising?

……

As a long-established province dominated by minerals, chemicals, and heavy industries, Shanhe Province actually has a lot of emergency patients every year.

The level of first aid in Shanyang City is actually not up to standard.

Therefore, a few years ago, the province directly approved a lot of money for the improvement and development of emergency medicine.

Even major coal and steel mills have sponsored Sunward Emergency Center.

No way!

In recent years, the hospitals of major mining bureaus have been in a wave of bankruptcy with the sluggish development.

These hospitals were originally dedicated to silicosis, trauma, orthopedics, ...... and so on, all of which have developed very well.

However, with the decay of coal's efficiency, the adverse reactions caused are cascading.

Therefore, instead of spending a lot of energy and money to continue to develop the Mining Bureau Hospital, it is better to give the money to the government to cooperate in the development of the Shanhe Emergency Center Hospital.

The Shanhe Emergency Center has been established and is running smoothly.

However, there is still not enough talent!

Therefore, the order was issued from above, that is, to transfer personnel from major hospitals and allow relevant professionals to be transferred and promoted.

Of course, this is only for talent.

Ordinary employees can be transferred, but they will not be paid much.

In fact, the news that major hospitals are going to transfer candidates has long been spread.

Many people are worried that they will be transferred, so they have started to work in private.

However, there are also many people who, like Chen Gong, want to go to a new position, after all...... Everything is brand new, and after you go, you can also seek better development.

If you become the patriarch of the hospital, you will be able to be much more stable in the future.

As a result, many tertiary hospitals in Shanyang City, Shanhe Province, have begun to select personnel.

This process did not last long.

Chen Gong had actually told the leaders of the emergency department that he was going to go to Shanhe Emergency Center Hospital.

Although there is some reluctance, but ...... Everyone can only feel a pity.

After all, Chen Gong's strength and potential are obvious to all.

The days are ticking.

In the past few days, Chen Gong has not gone to work.

Instead, I started sorting out some things about the anatomical knowledge and skills competition every day.

He received the task here, and he also had the promise of the old man Ma Yanfu.

He needs to be responsible for the team this time.

Of course, Chen Gong also felt a little guilty because he couldn't participate in the competition.

Although it is his freedom to participate or not, it is ...... Chen Gong always felt that he should represent the national team on the international stage wearing the red flag, listening to the national anthem, and watching the five-star red flag rise.

And, to be honest, why didn't Chen Gong want to compete with other opponents on the international stage?

Therefore, even if he can't participate, Chen Gong wants to see how the masters in this world are.

Thereupon!

During this time, before the transfer, Chen Gong was suspended in the emergency department of the affiliated hospital.

However, I don't have a lot of work on weekdays.

Just taking advantage of this time, Chen Gong carefully combed through his books in the field of anatomy.

In less than half a month.

Chen Gong's anatomy and local anatomy, neuroanatomy...... and other multidisciplinary anatomy knowledge has been rapidly improved.

Taking advantage of this time node, Chen Gong finally completed the first part of the "Anatomical Volume".

Compared with the biochemical volume, the first part of the anatomical volume mainly focuses on basic anatomy.

It does not contain pathological anatomy, but for domestic medical students who do not have a solid foundation, Chen Gong feels similar.

After that......

Chen Gong suddenly received a message.

The affiliated hospital hires itself as an attending physician!

This news, for many people, is actually quite shocking.

You must know that those who entered the hospital with Zhao Xi at that time are still resident doctors.

However, Chen Gong got a letter of appointment from the attending physician.

When the news was announced, there was a small controversy in the hospital.

However, none of the hospital leaders refused, and it can even be said that it was unanimously approved.

Of course, this is inseparable from the help of Guan Leshan and Qin Xuehai and others.

The staff of the emergency department were even more surprised by Chen Gong.

For this temporary Chen Gong, no work was carried out, and he was directly hired as the attending doctor.

This is somewhat convincing.

After all, in a hospital, there are requirements for the appointment of every attending officer, deputy director, and chief physician.

It can't be said that a radish is a pit, but it is not easy.

Chen Gong knew very well that all this was the help that Director Qin gave him.

Because when you are seconded from the hospital, it is a horizontal secondment, that is, what is the title in the original hospital, and what is the title after coming here.

Chen Gongruo is only a resident doctor, and he is not able to carry out any work in the new unit at all.

However, the main treatment is different.

Whether it is outpatient clinics, surgeries, or even various tasks, Chen Gong can carry out and carry out smoothly.

And so, after a period of confusion.

The list of secondees has been announced!

Chen Gong is on this list, and he will report to the third emergency department of the emergency center hospital next Monday.

After the news was announced, many people were dumbfounded.

And Zhao Xi was even more dumbfounded!

To be honest, Zhao Xi was very happy during this time, Chen Gong successfully participated in the work and was no longer a student.

The little burden in Zhao Xi's heart naturally disappeared.

Originally, I thought that after Chen Gong was busy with this time, they would eat and chat together, even if it was to ask for a consultation, they could meet often.

But!

This sudden secondment list came down, and Zhao Xi was completely dumbfounded.

She didn't expect that Chen Gong was leaving?

In an instant, Zhao Xi's heart was full of loss.

However, Chen Gong doesn't know these things.

The frequency of Zhao Xi's chats with Chen Gong in the past few days has also plummeted.

But Chen Gong doesn't have time to think about so many things now.

I'm going to be admitted to the emergency center hospital next Monday.

At present, Chen Gong, even if he has a good level of self-consciousness, can face various clinical emergencies independently, and he can't help but be a little nervous.

……

……

Monday!

Chen Gong, led by the staff of the medical department, went to the third emergency department of the emergency center to report.

Everything here is so clean, brand new walls, no honors or pennants.

Most of the medical staff are seconded, so they don't have much sense of the unit.

Everything in the department is new.

Even on everyone's face, the expression is different.

The director of the third emergency department is a deputy director of Shanhe Cardiovascular and Cerebrovascular Hospital, and after coming over, he directly assumed the position of director of the emergency department.

The other party is not very old, looks like he is in his early forties, and even has a bit of bookish anger on his face, and he is also modest in his speech and deeds.

After seeing Chen Gong, he was also a little surprised, after all, Chen Gong was too young.

And after seeing his identity information from Chen Gong's information, Jiao Liming was a little shocked.

21-year-old attending doctor?!

I haven't seen one in the whole country, right?

And most importantly......

Chen Gong's college stage, only the freshman year was complete, the sophomore year directly skipped the fifth year, and before he finished the fifth year, he got the letter of appointment from the First Affiliated Hospital, and became the attending doctor a few days ago.

These are obviously not the growth experiences of a normal person.

And in the secondment information and opinions, there is a sentence from the original hospital director's evaluation:

"This is the precious wealth of Sunward Medical University, and he is also the youngest honorary alumnus of Sunward Medical University, and his talent and ability are worthy of being cultivated with all his might."

These words directly made Jiao Liming dumbfounded.

He didn't expect Guan Leshan to give such a ...... Such a high rating.

Honorary Alumni!

Jiao Liming himself graduated from Shanhe Medical University, and he also participated in the 50th anniversary celebration, and suddenly, he seemed to be on the right track.

Right!

It's that Chen Gong.

For a while, Jiao Liming instantly understood that this young attending doctor was not an exaggeration at all.

Only, why did he come to this hospital?

You must know that anyone can see that the establishment of Shanhe Emergency Center Hospital is so hasty, and it is by no means so easy to get out of the way.

Moreover, the treatment of the emergency department is average!

In other hospitals, it is obviously better to produce grades, mix qualifications, and even promote paths are also very good.

But why did Chen Gong come here?

In the director's office, Jiao Liming took the initiative to stretch out his hand: "Doctor Chen, hello!" ”

"I also graduated from Shanhe Medical University."

"But, I really didn't expect you to come to us."

"I have a little doubt, why did you come to the hospital?"

Chen Gong said seriously: "I think this is an opportunity!" ”

When Jiao Liming heard this, he was slightly disappointed in his heart, could it be that Chen Gong felt that there were a lot of springboards here because this was a new hospital?

This made Jiao Liming feel a little sorry for coming here because of his dream.

"What chance?" Jiao Liming looked at Chen Gong with a solemn face.

Chen Gong smiled slightly: "I think that for me, I can get enough exercise here." ”

Jiao Liming heard the sound and nodded and smiled.

The answer is not so satisfying, but it ...... At the very least, it makes sense.

At this time, Jiao Liming suddenly said:

"Good!"

"Then I'll get straight to the point."

"Chen Gong, I know that you are an honorary alumnus of Shanhe Medical University, and your ability, Dean Guan Leshan also said it very clearly."

"However, the emergency center hospital is a new hospital, there are not so many specialists and professors, and even the team is not complete."

"At present, there are not many people in our third emergency department."

"The number of doctors is only 9, including one chief physician, two deputy chief physicians, three attending physicians and three resident physicians."

"Such a team, I believe you know better than me, how simple it is."

"I want you to be the team leader, with an attending physician and a resident, to carry out the work."

"We are now seriously understaffed, and we are still recruiting people one after another, but there is a big gap in Shanhe Province, and a large number of doctors are needed to join."

"I won't hide it from you, there are only a few people like you who are willing to take the initiative to transfer over."

"A lot of the people who are transferred are because they have an average level of work in the original department and hospital, or ...... People who are not united in the department and do not obey the management. ”

"I guess you should know what these people are."

"I know that your age doesn't mean your ability, so I hope you can take on the responsibility of a team leader."

"Is that okay?"

When Chen Gong heard this, he nodded hurriedly: "Okay!" ”

"I can!"

"Thank you, Director Jiao, for your trust."

Chen Gong has no reason to shirk.

For him, that's what he needs.

Soon, Jiao Liming took Chen Gong to the department.

Seeing that a newcomer was coming, everyone in the department looked at it curiously.

Jiao Liming clapped his hands directly and said:

"Alright, everyone be quiet."

"I'd like to introduce you to a new colleague."

"This is Chen Gong, the attending doctor who was transferred from the First Affiliated Hospital of Shanhe Medical University."

"Next, take charge of the work of our three groups, Yang Hui, Wu Xueyu, the two of you follow Chen Gong."

"Alright, let's welcome this new member with the warmest applause!"

When the words fell, Jiao Liming took the lead in applauding, and everyone below glanced at each other, and the sparse applause rang out.

And the eyes of everyone looking at Chen Gong were full of curiosity.

Because Chen Gong doesn't look like the age that an attending physician should have, right?

That's too young!

Although there are people in life who are relatively tender, they ...... Chen Gong's side, it really doesn't look like it!

Soon, Jiao Liming called Yang Hui and Wu Xueyu over.

"Hello, Dr. Chen!"

"Team Leader Chen, hello."

The two greeted Chen Gong separately.

Chen Gong smiled slightly: "Hello." ”

At this time, after settling down, Jiao Liming got up and left.

The department still has a lot to deal with.

On Chen Gong's side, as the person in charge of the third group, although he has not yet arranged a formal job, it also means that many things need to be done.

However, two days later, Chen Gong was surprised to find out......

It's not what I expected!

Chen Gong originally thought that the emergency center hospital must be extremely busy, with many patients, and most of them were emergencies.

But......

As it turned out, I thought too much.

Are there any people who come here?

There are too!

But it has nothing to do with many at all.

Even, many patients completely treat this place as a small clinic, and come to some simple things such as ordinary trauma treatment, bandaging and debridement.

Occasionally, a few come, still have a fever, gastroenteritis to hang water.

These diseases can be dealt with with with ease.

But......

This is not what Chen Gong wants.

So, Chen Gong found Yang Hui and Wu Xueyu and couldn't help but ask.

"This ...... The level of our emergency department is not as good as ...... What about the emergency departments of the secondary hospitals? ”

Hearing Chen Gong's words, Yang Hui sneered and couldn't help but say, "Team Leader Chen, you are from the First Affiliated Hospital, but ...... I really don't know about us here! ”

"The hospital has been established for more than a month, but ...... I don't have any fame at all. ”

"Even, just this month, quite a few patients have died in the first emergency department!"

"It's not that you can't say no, but ...... It's too rushed! ”

"The medical staff didn't come up."

"Even, many patients feel that our level here is too low and they can't come at all!"

"Team Leader Chen, you are so young, you shouldn't be bad in the original hospital, you have already been treated, what are you doing here?"

"To put it mildly, do you think the doctor here is very good?"

"I, offended the director, and was transferred."

"Xiao Wu, it's just a white radish, and he was kicked over in order to make way for the director's students."

"Do you know what outsiders think of us?"

"I don't say it, but I ...... Those big hospitals, let's say that we are a garbage dump here, specializing in recycling those bad doctors. ”

When Chen Gong heard this, his face immediately changed.

He didn't expect it...... That's how it will be.

Wu Xueyu also stood aside with a blushing face and didn't say a word.

He was originally admitted to the General Surgery Department of the Provincial People's Hospital last year, but the student of the director of the family just graduated, and there was no shortage of people in the department, which is not ...... How good it is now, he was transferred, and the places on the other side's side are vacant.

After hearing this, Chen Gong couldn't help but be silent.

He now understands that the medical resources in Shanhe Province are already limited, and many people are reluctant to come to the emergency department at all.

Who wants to come with less money and more money for emergency treatment?

At this moment, suddenly the nurse walked in.

"There's a patient here, whose class is it today?"

When Chen Gong heard this, he hurriedly walked out: "Mine! ”

While speaking, Chen Gong hurriedly got up and went to the emergency clinic.

After entering, I saw an old lady hurrying in with a two-year-old child in her arms.

"Doctor, what's wrong with my child?" The old lady said anxiously.

When Chen Gong heard this, he hurriedly asked, "What's the matter?" ”

"Did the child react?"

The old lady hurriedly said anxiously: "At about ten o'clock this morning, the child was fine, and suddenly began to vomit!" ”

"I vomited all the food I ate in the morning!"

"Moreover, I have diarrhea."

"At first, I didn't care, thinking that the child had just eaten the wrong thing."

However, after more than an hour, I pulled four or five times in a row, and even ...... And pulled out a little blood. ”

"There's a little bit of blood coming out of it."

"Doctor, I'm sorry for you."

The old lady's expression was very anxious, and the child in her arms was even more dying, her face was pale, lying in the old man's arms, her breathing was weak, and she had no strength to speak.

Seeing this, Chen Gong hurriedly asked, "What did you eat?" ”

The old lady shook her head: "It's the same as usual!" ”

"The child didn't eat this morning, and he was hungry at nine o'clock, so I cooked an apple porridge for the child."

"That's it, nothing to eat!"

"This apple is also fresh, just bought in the morning."

"I usually drink this apple porridge all the time."

"There's nothing wrong with that, huh?"

"This suddenly vomits!"

"Doctor, what's going on?"

Chen Gong heard the sound and frowned slightly: "You let the child lie down, and I will check the stomach." ”

After speaking, Chen Gong did not hesitate, took the initiative to get up and hold the child and put it on the diagnosis and treatment bed, then curled up the other party's legs, put his hand on it and pressed it gently.

After the diagnosis, Chen Gong frowned slightly, if it is gastroenteritis, the abdomen will react.

But......

The little boy didn't react much at all.

"Let's get some blood drawn first!"

"There's no way to diagnose what the hell is going on?"

"The kid didn't eat anything else, did he?"

Chen Gong asked.

When the old lady heard this, she hurriedly shook her head: "No! ”

"I can guarantee it!"

"Child, I've been watching today."

"But from beginning to end, there was not a single thing."

"Doctor, child...... There won't be any problems, right? ”

When the old lady heard this, she hurriedly asked.

Chen Gong shook his head: "Old man, I don't dare to talk nonsense now, because it can induce vomiting and diarrhea, and there are many diseases with blood." ”

"In this case, my advice is to check a blood routine first, and then a stool routine."

The old lady took a deep breath, quickly got up, and took the child to draw blood.

Chen Gong sat on the chair and frowned slightly.

To be honest, such patients are quite rare.

His first reaction was caused by food.

This is...... Don't know if it's food, or something else?

The child has not had such symptoms before, which is very special.

It didn't take long!

The old lady came back with the child, anxiously sitting on a chair outside the emergency room and waiting patiently.

After a while, suddenly a well-dressed and fashionable woman hurriedly walked over.

"Mom, what's wrong with the child?"

The woman asked anxiously, her eyes full of blame.

"Oops, baby, what's wrong with you?"

"It's alright!"

The woman held the child and touched her head distressedly.

At this time, a man followed, sweating profusely, and ran in and picked up the child.

"Mom, is the child okay?"

The old lady was a little anxious, and she came up to show her son her grandson these days, which can be said to be cautious, for fear of making a mistake.

Now this mother-in-law and daughter-in-law are different from before.

In the past, it was the mother-in-law who was not good at serving, but now the mother-in-law is afraid of angering the daughter-in-law.

Ay!

The old lady is a native of the village, and she is also cautious when she takes care of the children on weekdays, for fear that something will happen and make a little mistake.

Sitting here at this time, he was like a child who made a mistake, not daring to talk nonsense, and his eyes were full of nervousness.

Seeing this, although the man was anxious, he still relaxed his tone: "Mom, it's okay!" ”

"What's wrong with the kid?"

The old lady then said, "This morning, the child ate that fruit porridge, and the result was ...... In the morning, I started vomiting and diarrhea, and there was blood! ”

"I'm not going to bring the child here."

The woman frowned and glared at the man: "It really is!" ”

"Oh, it's okay, why was it okay before!"

"I came up here to stay for a few days, and the child either bumped into it or became like this."

"Also, if you're sick, who's going to come to this hospital?"

"Why don't you look at this place?"

"What if something goes wrong?"

When the old lady heard this, her face was ugly, she opened her mouth and couldn't help but say:

"It's close, I'm not...... Let's think about it and see what's going on? ”

"The doctor has already asked the blood to be drawn."

"Maybe it'll be fine."

At this time!

Soon, Chen Gong sat in the office, listening to the woman's words, and couldn't help but have a little more complicated eyes in his eyes.

After he refreshed it a few times, he saw the results come out.

Chen Gong hurriedly looked at it.

The more he looked, the more Chen Gong frowned.

There seems to be no other possibility than a little anemia.

But......

The child's situation, shouldn't it?

Chen Gong got up and said to the old lady:

"The results of the inspection are in."

"I have a question for you."

The old lady got up and hurriedly walked in.

"Doctor, how's it going?"

"Is the kid alright?"

At this time, it seems that the child's situation has indeed eased a lot.

After coming to the hospital, there was no diarrhea or vomiting.

There seemed to be no other symptoms.

And after the child's mother came back, all aspects of the child's spirit began to ease.

Chen Gong couldn't help but say: "The child's blood routine is not too abnormal, except for a little anemia. ”

"But ......"

"I don't think it's that simple."

"I have a question I want to ask."

"Does this fruit porridge be eaten often by children?"

The old man frowned: "I don't know much either, it used to be the child's grandmother." ”

And the young woman looked at Chen Gong with a special sense of superiority in her eyes.

"I'm a dietitian."

"The children's fruit porridge is what I usually make."

"It is good for promoting children's intestinal peristalsis and aiding digestion."

"Is it possible, do you think it's a matter of fruit porridge?"

Chen Gong nodded: "That's right!" ”

"Quite possibly!"

The woman sneered directly.

"You know what!"

"I'm a dietitian, can I still not know?"

"My child has been healthy since he was a child, and he has completely followed the scientific diet."

"I don't even use aluminum ...... for the stove at home."

……

The woman said a lot of things.

Chen Gong's eyes suddenly lit up.

That's right!

Iron poisoning!

After iron poisoning, 30 minutes to 2 hours after ingesting iron by mistake, due to the irritation of iron on the gastrointestinal mucosa, local necrosis and bleeding occur, resulting in hemorrhagic gastroenteritis, clinical manifestations nausea, vomiting, abdominal pain, diarrhea, hematemesis, bloody feces.

It's entirely possible.

And, don't think that iron poisoning is a rarity.

Not unusual.

Although, most of them are caused by accidentally ingesting excessive amounts of ferrous sulfate.

Young infants can be seriously poisoned and even die due to internal administration of ferrous sulfate 40mg~1.5g;

Older children were poisoned by ingesting 10~15 sugar-coated ferrous pills (0.3g per pill) and died.

Again...... There are also cases of iron poisoning caused by eating acidic fruits cooked in an iron pot.

Severe poisoning can occur with an overdose of injected iron.

Therefore, iron poisoning has never been uncommon in clinical practice.

It's just that...... Parents don't pay much attention to it at home.

Chen Gong said to Mrs. God: "Is the pot for cooking porridge for children an iron pot?" ”

The old lady nodded: "That's right. ”

"It's an iron pot."

The woman frowned: "What does it have to do with the iron pot?" ”

Chen Gong took a deep breath and said with a solemn face:

"The situation may be more serious than you think."

"I suggest you go back now."

"Do an X-ray of the abdomen, and then do some serum iron and iron binding tests."

"Diagnose it, don't delay."

Hearing this, the woman looked at the child, who seemed to be much better.

couldn't help but glance at Chen Gong:

"What do you know?"

"When you come, you know to do inspections, you can do inspections."

"Your hospital, die poor!"

"Let's go, it's okay, let's go home."

"Son, is the apple that grandma gave you a bad meal?"

When the old man heard this, he sighed deeply and shook his head.

Seeing this, the man was also a little helpless.

Seeing this, Chen Gong hurriedly said, "You are not out of danger now!" ”

"Now after the onset of the child's illness, 2~6 hours is the asymptomatic period, not because the child is better!

It's because the surface phenomenon is better!

Because iron accumulates in the mitochondria and various organs at this time, it has not yet been induced. ”

"If it's really because you delay the situation, it may cause serious adverse reactions in the future!"

Chen Gong shouted, and only the old lady heard it in her ears.

But can he do the Lord?

Seeing this, Chen Gong was directly speechless.

"You'll pay for your ignorance."

"The child is innocent!"

The woman snorted coldly: "You will receive a report because of your inferior level and bad attitude!" ”

"Humph!"

As the woman spoke, she left the hospital with the child.

Seeing this, Chen Gong was directly dumbfounded.

And Yang Hui and Wu Xinyu stood next to them, and they also shrugged helplessly.

……

……

(End of chapter)