The total life of the hospital is very monotonous.

It's so monotonous that everything has nothing to do with you except for the days when you can feel the great injustice.

Mo said that it is the fifteenth day of the first month, maybe the day of Chinese New Year's Eve will not make you feel that time loves you differently——

On March 1, at 8 o'clock in the morning, after Fang Ziye participated in the handover, he was officially recognized by the current administrative director, Professor Han Yuanxiao, as the general inpatient in the department and the position of inpatient director.

The general identity of the follow-up inpatient is because Fang Ziye is currently studying for a doctorate, and the position of the general inpatient is that Fang Ziye plans to join the hospital and is about to graduate before he is a fresh graduate.

Fresh graduates of this hospital can naturally enjoy some conveniences and benefits in advance.

After Fang Ziye took over the old-fashioned mobile phone of the hospitalist, he actually completed the handover procedures.

Qin Geluo didn't say much to Fang Ziye, but said: "Ziye, you first go to the emergency consultation and peaceful consultation today, and I will take care of the other affairs on one shoulder, and then slowly hand them over to you." ”

Fang Ziye hadn't understood what it meant to be slow.

At about 8:20, Fang Ziye, who was following Professor Deng Yong's ward rounds, was called away by the old-fashioned hospitalization mobile phone-

During the rounds, no one was allowed to answer the phone, including the administrative director Han Yuanxiao, who was not allowed to answer the phone in principle.

However, the exception is the total hospitalization.

In principle, the total hospitalization is allowed to talk with Bluetooth headsets at any point in time, even on the operating table.

Fang Ziye's departure did not surprise anyone.

Because of the previous hospitalization, that's how it came.

During Jin Hongzhou's tenure as the general hospital, the people in Professor Deng Yong's group may not have experienced it firsthand, but Qin Geluo is not a strong man who has been arrested for a while......

Naturally, Fang Ziye's non-participation in ward rounds will not have the slightest impact on the progress of ward rounds.

Ten minutes passed quickly.

Central South Hospital, outside the emergency surgery clinic.

A young man held his hand while holding the medical record book, and walked with Fang Ziye, and at the same time asked sideways: "Doctor, my condition shouldn't be serious, right?" ”

"The visual inspection is not serious, and the specific situation is evaluated by the results ......of plain films," Fang Ziye replied, and after taking the medical record book, he looked at the simple medical history asked by the people in the emergency department, and at the same time walked towards the direction of the clinic with the young man.

In fact, what the young man wanted to say was that if you don't find a more reliable director to come over and take a look, Fang Ziye didn't give him a chance at all.

Entering the consultation room, Fang Ziye quickly wrote a circle in the emergency medical record book, and then began to operate the computer to print out a manual reset signature consent form.

I haven't had time to speak.

Fang Ziye's brows furrowed, because there were still 120 car sirens coming from afar!

Fang Ziye said quickly: "Your current situation is shoulder dislocation, I watched the film, and it can be reduced manually after evaluation." ”

"But if you want to rule out more detailed soft-tissue damage in advance, it's best to do an MRI. For this MRI, you can choose to do it before the manual reset, or you can choose to do it after the reset. ”

"If you choose to do it before manual reduction, then it is an absolute indication to evaluate manual reduction, and when the time comes to choose manual reduction, then the reduction is successful. Manual reduction is treatment. ”

"If you choose to do it after manual reduction, you may need surgery after manual reduction, and manual reduction is only a temporary pain relief measure......" Although the sound of the ambulance outside flickered, Fang Ziye still did not dare to be careless.

During the annual meeting the year before last, Fang Ziye once served as an emergency doctor, and Fang Ziye almost stepped on the thunder at that time, but fortunately he was careful enough and did not be careless and reckless.

Today's Fang Ziye will naturally not make low-level mistakes.

"In addition, manual reduction has a certain success rate, and it may not be successful, so you have to think clearly about whether you want to deal with it in our hospital!"

"If you agree, and you can accept the unsuccessful result of the manual reset, then sign it and we will do it immediately!"

"If you're hesitating, you can go outside and sit down for a while, think about it, or go to another hospital. I can take care of the emergency patients in the back first. Fang Ziye quickly explained the situation.

"This? Dr. Fang, are you alone in your department now? The youth asked.

"Other doctors in our department have other patients to see, those who sit in the outpatient clinic, those who do surgery in the operating room, and those who just get off work get off work!" Fang Ziye patiently and simply explained!

Not a word is wasted.

Informed consent requires that everything be said clearly.

Fang Ziye briefly gave the current predicament and choice to the other party.

"If you really want to wait for your superiors to deal with it, your current situation is not an absolute emergency indication."

"In other words, the real emergency is not the emergency as you understand it." Fang Ziye saw that the other party was young, so he spoke relatively more colloquially.

This is a common phrase on the Internet.

When the young man heard this, his expression was bitter for a while, and then he sighed violently and said, "I'll sign it!" Alas! ”

After the young man finished signing, Fang Ziye quickly prescribed him two medical orders, one was the manual reduction of the shoulder dislocation, and the other was the material cost of the shoulder forearm sling.

The price is not expensive, a total of one hundred and sixty.

With the previous X-rays, there are 295 pieces in total. The cost of the X-ray was forty-five and one, and he took a picture of his shoulder, chest and abdomen, and billed it in three places.

Fang Ziye typed out the list and asked him to sweep it.

Then he said: "Our hospital has not opened online medical insurance reimbursement, if you have the balance of your medical insurance card or need to reimburse the employee medical insurance, you have to go to the outside window to handle it, but if you can reimburse later, you can scan the code directly." ”

"Of course, after you scan the code, you can also go through the refund procedures at the window."

"It's okay, I'll pay for it myself." After the young man saw the content of the signature clearly, he signed his name, looked up at the very young Fang Ziye in resignation, and finally scanned the code and began to pay the password.

But when his left hand presses the payment password!

I only felt that there was some force in my right arm, and the sharp pain came suddenly!

It was completely unexpected by him, and he was caught off guard.

In an instant, the pain intensified to the extreme, even beyond the upper limit of what he understood.

The fear of the pain of the assault made him stiffen.

But soon, the young man immediately felt a relief in his shoulder and a relief from the pain.

At the same time, a "click" sounded.

This made him directly excited, his upper body trembled, and he looked at Fang Ziye, and finally had time to carry the anger in his chest in his eyes-

"You, TM?"

"Don't talk about martial arts?" The young man was furious, took a few steps back, and was furious, and had an urge to hit someone.

But if Fang Ziye's answer is not right, even if he has no family members present, he has to go up with Fang Ziye.

Fang Ziye said: "Brother, don't be so nervous, the technique of joint dislocation is to pay attention to surprise!" In this way, you can minimize the antagonism caused by your sense of self-preservation. ”

"Our reset process can be a little bit faster."

"Now the manual reset has ended, and there is nothing high, and the reset can also be very fast!"

"If you're surfing the Internet a lot, you know that resetting can be very fast."

"You can try to move, it might be a little painful, but it won't be particularly painful."

"Then you take a break and go and recheck a film, and I'm going out to see the next emergency patient in between. After you finish the film, come to me again, and I'll give you a forearm sling! ”

"So that everyone doesn't delay?" Fang Ziye listened to the stimulation of 120 more and more ears, but he still had to stabilize the mood of this young man!

Although, outside, there is still a patient, waiting for Fang Ziye to deal with it, that patient is a patient with a fracture, and after this patient, a new car of 120 comes, Fang Ziye doesn't know if he needs to continue to practice.

When the young man heard this, he immediately felt his own feelings, and the pain was indeed relieved a lot.

After then trying to twist his arm again, the stunned expression and the incredible look in his eyes.

It took him five seconds before he reacted, his eyes wide and he looked particularly shocked.

That's good?

"Doctor Fang, what am I?" He looked at Fang Ziye's age, and there was no way to match this Fang Ziye with the kind of technique reset master on the Internet.

"Since you're feeling okay, you can check it out first, and come to me with the results later."

"You know, I'm actually quite busy, so I don't have much time to chat for the time being."

"You still have to pay this fee, so that you can follow up on the forearm sling, and also check the effect of reset." After Fang Ziye finished speaking, he walked out and did not look back.

The young man looked at Fang Ziye's back as he left.

Fang Ziye's figure is not particularly generous, but he seems to be trying hard to carry something.

"Awesome!" The young man writhed twice, the pain disappeared, and he shouted these words crisply.

After settling the account, he slowly turned around and went to the X-ray room, not daring to despise it again.

No matter how old Fang Ziye is, in just a few minutes, he has completed his own reception, examination, conversation, and treatment operations, which are as neat as flowing water.

Without the slightest hesitation or hesitation.

He can't judge whether the level is good or not for the time being, but he is very cool now.

The refreshment comes from the previous pain relief, and the refreshment brought by this relief is no less than the relaxation of a release......

Moreover, Fang Ziye doesn't take his current symptoms seriously, that's what he knows in his heart, if Fang Ziye really keeps guarding next to him and keeps asking himself something, this will be troublesome.

Maybe it's also because the artist is bold......

Fang Ziye was about to go out again to receive the next fracture patient!

At the door of the emergency room of the emergency department, a cart quickly flew closer.

The speed is so fast, at least fifty or sixty yards.

"Did you deal with it on the spot?" The green clothes and white coats are handing over. The white coat asked.

"It's not handled well, the patient can't move, I listened to the dispatch and came here." The green dress said quickly.

When the white coat heard this, he said, "Please consult orthopedics, thoracic surgery, general surgery, and neurosurgery......

"The inpatients in orthopedics and neurosurgery are in the emergency department, do you need to call them right away?" After the white coat and green clothes pushed the cart into the rescue room, they asked back and forth from afar.

"Call first, consult urgently, and the other party will arrange it as soon as possible." A very experienced voice came from inside.

Fang Ziye was doing a quick physical examination at this time, and asked, "Do you feel it?" ”

Fang Ziye glanced at it, and knew that the situation of this fracture patient was a simple fracture and dislocation of the upper limb, considering the possibility of dislocation, someone at the scene performed an emergency reduction on him, but he was not reduced, and then he was dragged over, and then there was a closed fracture in the lower limb.

Who knows, this middle-aged man is still a bit comical, it is the accent of Sichuan Province: "I can feel it, your muscles are hard!" ”

"............" the corners of Fang Ziye's mouth twitched slightly.

"The vital signs are stable at present, there is no active bleeding, the consciousness is clear, and further examination will be handed over to you!" The other white coat quickly handed over to Fang Ziye, and then walked back.

Fang Ziye nodded and said yes, but at this time, the female doctor in the white coat had already arrived at the cart.

"Take a CT scan of the head, chest and abdomen plus a CT of the right humerus, and then draw blood for a preoperative examination, and go to the operating room. Dr. Fang, do you have anything else to add? She glanced at Fang Ziye's badge and asked quickly.

Don't dare to delay at all.

Fang Ziye didn't know the other party, but he saw her badge: "I didn't add it here, let's add the left shoulder joint and right tibia and fibula when taking CT." Thank you, Mr. Huang......"

The general inpatient of the Department of Neurosurgery, surnamed Huang.

Fang Ziye's current badge is still a resident doctor, and the chief resident's badge has not yet been ordered, and it is temporarily in place.

"Call me Huang Yan or Senior Sister Huang. I take the patient to the office first. ”

"You can deal with the patient in the back first." Huang Yan pouted behind Fang Ziye.

It was the previous dislocated patient who had rushed back from the emergency X-ray office.

"Thank you, Senior Sister Huang!" Fang Ziye immediately turned around, but he still remembered that the patient with shoulder dislocation before had not yet hit the forearm sling!

When Huang Yan pushed the cart in again, the patient asked, "It's expensive to do so many CT scans at once, right?" ”

CT scans are not cheap, and they are all done at once.

"You have a fracture, which proves that the violence is strong enough, and there is a high probability of having a chest and abdomen and head injury." Huang Yan explained.

Professional people can always give professional explanations.

What kind of checklist to prescribe is not to open it casually when he sees someone coming in, but to assess the extent of the violence he encountered when he was injured, and to check it accurately.

And!

If he is the only emergency patient, then there must be time to do a systematic physical examination for him, and then according to the results of the physical examination, accurately check the photos, but at this time, time is precious.

Wasting time to save money for a few examinations is not life-effective, and when the emergency department is on duty, you must be prepared for the next patient to die at any time!

Taking advantage of the time to turn around, Fang Ziye immediately sent a message to his junior brother Jiehan, asking if the other party had free time to come over to help.

But the answer was no.

Moreover, Luo Tingzhu and others, who Fang Ziye was familiar with, basically didn't have time, so they had other arrangements.

Although he didn't shake anyone, Fang Ziye still had to go over to make a forearm sling for the previous patient, and also prepare for the emergency consultation of the patient in the emergency room and the X-ray evaluation of the fracture that was taken out by the neurosurgeon just now......

Being in a hurry is Fang Ziye's first feeling.

(End of chapter)

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