godfather of surgery

Chapter 7 The Day of the Serf

Lifting the lid, the purple sand tea cup was steaming, Director Han took a sip and fell into thought.

Although Yang Ping is already an attending physician, the number of attending physicians in Keli is already full. Yang Ping is recruited according to the number of resident physicians. He can only use it as a resident physician first. If he does well, he will find a way to mention it later. Attending physician position.

Director Han touched the hot purple sand cup: "You are in my medical team, there are two doctors in my team, the attending physician Song Zimo, and the resident Zhang Lin, Xiao Song and I are going out for a meeting these days. Let Zhang Lin take you to familiarize yourself with the environment first."

Yang Ping nodded.

Large hospitals are generally divided into groups, and a group has high and low professional titles.One senior professional title, chief physician or deputy chief physician, serves as the team leader; one intermediate professional title, attending physician; one or several junior professional titles, resident physicians, if it is a teaching hospital, as well as interns, graduate students, and advanced students.

Resident physicians generally manage patients directly, receiving patients every day, writing medical records, scheduling operations, changing dressings, and so on.The attending doctor, on the other hand, does not need to directly manage the patient or do the chores of the resident doctor. He is mainly responsible for assisting the team leader to perform operations and instructing the resident doctor to manage the patient.

Each group is an independent medical unit, and the group leader is fully responsible for the medical technology of the group. Except for special patients who require the department director to come forward, general operations are performed by this group.

The groups are completely parallel and do not interfere with each other.Of course, if you need other groups to cooperate, you can also cooperate with each other.

Some hospital department directors do not lead a team, and some hospital department directors also lead a team of their own.Director Han brought a team of his own, with the attending physician Song Zimo and the resident physician Zhang Lin.

"In a few days, if anything happens, you can help Zhang Lin. If there is anything you can't handle, report it to Director Tian in time. Director Tian is a very good person and is very bookish. You questioned his diagnosis in person at the meeting today. Not only did I not get angry, but I immediately corrected my mistakes. If you did the right thing today, if you hadn’t reminded me in time and insisted confidently, we would have fallen into a medical dispute, and the patient would have suffered, and we would have to have an extra operation. Books, only realistic, this is the basic principle of doing science."

"I understand, Director, I will remember Director's words." Yang Ping was sincere.

"Well, work hard, Sanbo is a good platform, and our orthopedics department is an excellent team, you will gradually realize it." Director Han still has surgery, so we can't talk for too long.

According to Director Han's instructions, Yang Ping went to Zhang Lin, Zhang Lin went to the ward, and another group of Gu Peisheng came over and said secretly: "You and Zhang Lin? Be careful, the doctors under him live like serfs. "

This Gui Pearson kindly reminded him, then slipped away, Yang Ping was sitting in the office, what is the life of a serf?
After Zhang Lin finished his work, he returned to the doctor's office. Not long after he graduated from his master's degree, he was a resident doctor. He was tall and thin, with pimples all over his face, wearing a pair of glasses, and he didn't pay much attention to people.

"Hello, Doctor Zhang, I'm Yang Ping, Director Han—" Yang Ping stretched out his hand.

"Understood, Director Han called me, wrote medical records? Changed medicine? Can you do it?" Zhang Lin's tone was a little unfriendly, and he ignored Yang Ping's outstretched hand, sat beside a computer, and opened the HIS system to issue a doctor's order.

"1 bed, 3 bed, 8 bed, 10 bed, 11 bed, 12 bed - changed the medicine, all the patients, check if there is any missing disease course record, and make up." Zhang Lin adjusted his glasses, Eyes never leave the computer screen.

"Are you talking to me? Doctor Zhang?" Yang Ping wasn't sure who he was talking to.

Zhang Lin was a little temperamental: "If I don't tell you, who should I tell? Tell the computer?"

When the shift was over in the morning, because of Yang Ping, Zhang Lin was criticized by Director Han in public.

Grandma, what is your attitude? Lao Tzu has already been attending. You ask me if I will write a medical record and change the dressing. I am going to treat me as an intern. Yang Ping withdrew his hand:

"I really can't. I haven't written a medical record for a long time, and I haven't changed my medicine. Please teach me Dr. Zhang." Yang Ping said lightly.

When Zhang Lin saw him, he didn't listen to his orders, and his stomach immediately became angry. He was about to spit someone, but a regular trainee called Zhang Lin at the door: "Mr. Zhang, it's ready."

The patient who underwent spinal fracture surgery in another hospital developed fever ten days after the operation. Blood draws and MRI examinations indicated that there was infection in the spinal canal. They were transferred to Sanbo Hospital. The superior doctor asked Zhang Lin to perform a lumbar puncture and draw fluid for microscopy. Look for white blood cells, bacterial cultures and susceptibility testing.

Zhang Lin glared at Yang Ping, waiting to clean up you, new comer, still not accepting discipline, can't cure you, how can I manage people.

This kind of person, Yang Ping doesn't want to argue with him, and he has a chicken feather on his head and thinks he is the Great Sage Monkey King.

Waist piercing, go have a look.

The patient is very fat, already lying on his side, curled up on the bed, hunched like a shrimp, and Gu Pearson has completed the disinfection and laying.

This fellow is a resident doctor, and he has a lot of style. Like a professor, he has a waist piercing. He also needs a few people to wait on him, so that people can sterilize and lay out the bills in advance.

Zhang Lin took the sterile gloves handed by Ji Pearson, opened them, put them on, and then, like a professor, picked up the needle for puncture, touched the anterior and posterior superior iliac spines, and punctured the 3/4 of the waist.

The doctors in the top three teaching hospitals have very good basic skills and very standardized movements, but once the needle is pierced, there is no so-called breakthrough, and no cerebrospinal fluid flows out. The needle encountered is obviously hard bones.

Zhang Lin stopped and thought for a while: "Put the film in front of me and I'll take a look."

Another Gu Pearson showed him the X-rays, CTs and MRIs of the patient's lumbar spine one by one. Yang Ping also probed to see that the patient had already undergone lumbar spine surgery and bone grafting. There were scars everywhere, and the anatomical relationship Already messed up.

It is estimated that anesthesiologists who do spinal anesthesia every day may not necessarily have a successful puncture, let alone an orthopedic surgeon.

Zhang Lin felt the difficulty. He took out the needle, adjusted it, and punctured it again, but it still didn't work. It didn't work after several trials, and it couldn't go on indefinitely, and the patient's waist would not be stabbed out of the sieve.

After wearing it for almost a dozen times, Zhang Lin didn't dare to wear it again, but so many people looked at it, he couldn't hold his face, and his forehead was covered in sweat.

"Doctor Zhang, why don't you let me have a try?" Yang Ping said with a smile.

This kind of lumbar puncture is trained in basic skills in the system. I don’t know how many times I have worn it, and I can wear it properly with my eyes closed. When I just watched the film, I already knew some anatomy in my heart.

"You?—Okay, try it."

Zhang Lin was sweating on his forehead. Seeing Yang Ping's initiative, he immediately got off the donkey, so as not to lose face in front of the students.

Zhang Lin got up, Yang Ping sat down, and Gu Peisheng handed over a pair of sterile gloves, which Yang Ping put on.

At this time, Zhang Lin was about to take off his gloves, and Yang Ping said sternly to Zhang Lin, "Don't take off the gloves, and help deliver things later."

While talking, Yang Ping picked up the puncture needle in the sterile tray of the disposable waist puncture bag, without thinking about it, it was just a needle in the back of the waist, and it was stabbed directly in one step, and the people around him were shocked.

At the end of the needle tube, the cloudy cerebrospinal fluid was falling down drop by drop.

Everyone didn't react yet, the puncture was successful, and the puncture needle had reached the spinal canal and subarachnoid space.

The trainees and interns looked at him with admiration.

"Doctor Zhang, hand over the syringe!" Yang Ping ordered.

At this time, Zhang Lin's sterile gloves hadn't been taken off. He was the only one who could help deliver the contents of the sterile bag. Zhang Lin immediately handed over the syringe.

"Slowly, catch bugs!" Yang Ping reprimanded.

Zhang Lin was trained to lose his temper. In front of so many students, he didn't wear it for a long time, and he succeeded in his shot.

Yang Ping connected the syringe and drew out a little cerebrospinal fluid for testing.

Then he stood up: "Doctor Zhang, please clean up these things, and come over with the students when you're done, and I'll tell you how to do a lumbar puncture."

Yang Ping took off his gloves, threw it in the open sterile bag, and left the ward without turning his head.

-

Yang Ping returned to the doctor's office, sat down to rest, the phone vibrated, Yang Ping saw that it was Xiao Wu's phone.

"Boss!"

"I've rented the house for you. It's just across the road from the hospital. Just cross the overpass. I'll bring you the keys after get off work in the afternoon. I also received a call, but it's a resident doctor in the emergency department who specializes in following ambulances. I will go to the interview every day, who cares about him, carry the stretcher, some have strength, work with strength, it is honorable." Xiao Wu ji li wa.

"Brother, I'm busy. I'll call you at seven o'clock. Let's have dinner together. I'll invite you." Yang Ping hung up the phone.

Because the original house is in the urban village in the urban area, and now it is in the suburbs
Yang Ping didn't have time, so he asked Xiao Wu Gang to retire the house and rent a house near Sanbo Hospital.

The hospital also has dormitories, but it is inconvenient for several people to live together in an suite. You have to queue up to go to the toilet. You can simply rent a house, which is more free.

At that time, when Yang Ping submitted his resume, he also asked Xiao Wu to submit it together. Unexpectedly, two people voted for Sanbo Hospital.

"Yang - doctor -" Zhang Lin appeared in front of Yang Ping with a blushing face.

Yang Ping said in the tone of a superior doctor: "This kind of puncture is relatively difficult, and it is beyond your ability. If you encounter such a difficult operation in the future, call me, it's all in a group, you're welcome."

I just watched the movie this morning, if it was a chance, the kung fu that I put on my hands and waist just now, it is not a blind cat catching a mouse. I stabbed myself a dozen times without success.

In the face of strength, Zhang Lin is willing to bow his head.

"This, I'm sorry just now. I'll let Gu Peisheng and the intern do the medical records and dressing changes. I'll show you how to familiarize yourself with the environment of Corey. Director Han is out for a meeting. Our group has no surgery today."

Zhang Lin was very embarrassed. He wanted to use others just now. At this level, they let you use them?

(End of this chapter)