Chapter 81
After Lan Lijuan heard that the distribution of internship teachers was so unfair, she suddenly took a breath.
A strong girl didn't expect to encounter such an unfair thing on her first day in the department? This completely poured cold water on her enthusiasm.
When Chen Qi saw her expression change, he immediately touched her with his arm and comforted her softly:
"Don't worry, some things have to be done step by step. After all, they are college students and have been interns for half a year. They have certain work experience. We are just fledgling. It is normal if no senior director is willing to take us."
Lan Lijuan bit her lip: "Back then, their scores in the high school entrance examination were not as good as mine. Monitor Chen, we have to work hard, we can't be compared to others!"
"That's right. Being behind in internship does not mean that they will fall behind in work. Their starting point is a little higher than us, that's all."
The two were still talking in a low voice, but the science meeting was over, and several new interns were looking for their mothers.
Dr. Yi Zewen is a little chubby. He is about 30 years old. At this age, he is just a junior doctor in surgery who can do first-level minor surgeries:
"Hello, Classmate Chen, Classmate Lan, I am Yi Zewen, and I will be your teacher next."
Chen Qi hurried up and bowed to Yi Zewen: "Hello, Teacher Yi, please take good care of us next."
Lan Lijuan also hurriedly bowed along with Chen Qi.
Yi Zewen was a little surprised by the gift from the two interns:
"You don't need to be so polite. I am your teacher now. Maybe we will be colleagues after next year. You can do whatever you want. Let's go. Director Zhu will make rounds today, and I will take you to have a look."
In the corridor of the ward.
Director Zhu Huoyan walked in the front, looking a bit aggressive when walking. A breeze blew by, and his white coat became a little fluttery. With this momentum, he looked like a big BOSS.
Director Jin Peilin and Shen Zhemin, as well as two deputy directors Liu Chuanpin, followed closely behind.
Behind them are the junior doctors from the Department of Surgery, and behind them are the junior doctors at the bottom of the department, followed by several university interns from Haidong Medical University.
When it was the turn of Chen Qi and Lan Lijuan, two technical secondary school students, they pushed two carts with volumes of medical records placed on them.
This picture alone makes it clear at a glance everyone's status in the department. Technical secondary school students are at the bottom of the food chain and have the least status, so they push the medical record trolley.
More than a dozen doctors walked in the corridor in such a mighty manner, just like the young and Dangerous boys in Hong Kong movies, which frightened the families of the patients in the corridor and gave in.
Walking into the ward, Director Zhu stood on the right side of the bed. A large group of white coats filed in, staring at the patients for a moment. The apples in the hands of family members accompanying the bed all fell to the ground.
"Why are there so many doctors? I, am I going to die?"
The patient who was speaking was lying weakly on the bed. When he saw so many doctors surrounding him, he was so frightened that his eyes nearly popped out.
Director Zhu is quite polite to the patient: "Comrade, don't be anxious, we are doing regular ward rounds today, and whoever is in charge of the bed will report the condition immediately."
The doctor in charge of bed 1 was Yi Zewen. As soon as Dr. Yi heard this, he hurriedly squeezed in from behind. Just when he was about to report, he found that there was no medical record in his hand, and he was so anxious that he was sweating.
At this time, Chen Qi had appeared behind him and handed him the iron folder of medical records smoothly.
Dr. Yi glanced at the intern gratefully, then opened the medical record and began to report.
Lan Lijuan saw that Chen Qi had the ability to predict the unknown, so she took the medical records in advance and handed them over to the teacher as soon as possible. She felt amazing:
"Monitor Chen, how do you know that Teacher Yi is going to use medical records soon?"
Chen Qi whispered:
"I'll teach you a trick. Ask the teacher to check the ward to find out how many beds there are. You should prepare inpatient medical records in advance. In addition, when you go back, it's best to remember all the patients who manage the beds, so that you can be in time without looking at the medical records.
Answer the patient's condition and test results."
Lan Lijuan nodded repeatedly, feeling that the squad leader was worthy of being a squad leader and knew everything.
Doctor Yi over there has finished his report. Director Zhu checked the wound and nodded: "The sutured wound is recovering well."
Then he straightened up, looked at the intern doctors next to him, nodded, and Zhang Jun asked:
"This classmate, please tell me, what are the levels of spleen injury?"
When Zhang Jun heard this, he naturally replied:
“It is divided into 4 grades: Grade 1 splenic subcapsular rupture or mild damage to the capsule and parenchyma, the length of the splenic laceration was ≤5.0, and the depth was ≤1.0 cm during the operation; Grade 2, the length of the splenic laceration was >5.0, and the depth was >1.0 cm.
However, the splenic hilum is not involved, or the splenic segmental blood vessels are involved; grade 3 splenic rupture injures the splenic hilum or splenic part, or the splenic lobe blood vessels are involved; grade 4 splenic rupture is extensive, or the splenic pedicle and the main splenic artery and vein are involved."
Director Zhu: "If you provide first aid at the scene, how should a patient with liver and spleen rupture and bleeding be transported?"
Zhang Jun was at a loss for words for a moment. He thought it was a theory and turned his eyes to this kind of experimental operation.
Director Zhu glanced across Zhang Jun's face and said to Lu Yuehua next to him: "You answer."
Lu Yuehua had obviously thought about it and quickly replied: "Patients with liver and spleen rupture and hemorrhage generally have a large amount of bleeding and hemorrhagic shock occurs quickly. They should also be transfused with blood and fluids first, and then transported after the shock improves."
Director Zhu: "What position should I adopt during transfer?"
This question was out of scope again. It was not written in the textbook at all. Lu Yuehua couldn't answer it for a while. Director Zhu looked at another university intern, Ai Kelong: "Come here!"
Aikelong squeaked: "Well, you should probably lie on your back?"
Director Zhu snorted coldly:
"If you know, you know. If you don't know, you don't know. What do you mean by rough guess? Do you just make rough guesses when you meet a patient? You have to know that this kind of hepatosplenic hemorrhage has a high mortality rate. It is very likely that you will make a mistake in one detail.
A human life."
Aikron's face turned red when asked, and his hands were shaking from nervousness.
On the first day of internship, he was scolded by the director, and most of this college student's self-confidence was destroyed.
Through three university interns, Director Zhu finally discovered that there were two technical secondary school interns following him, especially Chen Qi, who impressed him yesterday and asked directly:
"Chen Qi, can you answer this question?"
Chen Qi stood up straight and raised his tone:
"Good director, during first aid, patients with liver rupture should lie on the right side; when the spleen ruptures, lie on the left side to reduce bleeding; if it is an open splenic rupture, a sterile warm water cotton pad or hemostatic sponge should be used quickly
Use packing to stop bleeding before moving."
Chapter completed!