Those years when I hung up and upgraded in the hospital

Chapter 13 The aroma of wine is not afraid of deep alleys (please follow up)

Fang Yun refused the invitation from head nurse Jin Ping to treat him.

Favors are valuable only if they are reciprocated. When there is no opportunity to return the favor or use it, there is no need to involve too much.

When I rushed to the department, I didn't see Dong Yunshan and Chen Shengwu.But Peng Qingsong and the three young doctors came on time for ward rounds.

When Fang Yun changed into his white coat and walked into the doctor's office from the doctor's lounge, the little man Song Wu happened to be taking off his hat and mask. He looked like he had just returned from changing the medicine.

After the operation, the patient is under his care, and he has free time to change the dressing before the ward rounds.This is equivalent to only one hour of working time.

Xiang Youde was talking to Peng Qingsong. There were two moles juxtaposed on the right side of his face. Perhaps he didn't get an answer from Peng Qingsong at this moment, so he turned around and asked: "Brother Yun, do you know where Director Chen and Brother Dong go to do this?" Did you have surgery?"

When talking to Youde, Peng Qingsong wanted to stop him, but it was too late.

Fang Yun frowned secretly and replied: "I don't know this yet. I was on duty today, and neither Director Chen nor Brother Dong mentioned this matter."

"Director Chen is still having surgery outside?" Fang Yun asked with a smile.

The atmosphere was slightly awkward, and Song Wu, who was about to speak, suppressed the report on the wound near his throat.

Peng Qingsong said: "Maybe there was some cooperation when Director Chen was working in Long County. Brother Yun, as you know, many surgeons have applied for multi-site practices now."

Multi-site practice is a system established by the medical system to encourage the widespread use of balanced medical resources.

A doctor can apply for multi-site practice and can legally conduct medical diagnosis and treatment activities in two or even three designated hospitals.Otherwise, if the diagnosis and treatment activities do not match the practice location, it will be illegal.

"Director Chen seems to be quite capable." Peng Qingsong also realized what was extraordinary about Chen Shengwu.

Fang Yunze didn't think much about it. As the director of surgery, Chen Shengwu had just arrived and was not related to him. However, he wanted to run outside in the early days of his arrival, even though Director Chen Shengwu didn't want to take him outside for surgery. Fang Yun would not have any objection to the surgery.

On the contrary, you will feel that this is human nature.

Xiang Youde said: "Brother Yun, a new patient has been transferred to our department. He was transferred back from Jishi People's Hospital. He is a local. He arrived last night and will wait for the ward rounds."

"Please pay attention and take a closer look."

Of the four patients in the past few days, three were non-surgical patients. Within three days, two more were discharged. Yesterday, there were only two patients in total in the surgery.One was the patient who Fang Yun had undergone surgery before, who was the sister-in-law of Jin Ping, the head nurse in the operating room.

"Okay, then you three happen to be in charge of one patient each. If you can't handle it, you can leave it to me." Fang Yun nodded and walked towards the medical record rack!

I saw that the newly admitted patients were assigned to bed 6.Then he asked again: "What is the condition of this 6-bed room? Why do you live in a separate room?"

Generally speaking, for the convenience of management, patients are arranged in one room or two wards.

"It was an infection after surgery. I came back for anti-inflammatory injections. I haven't had time to see the wound condition yet." Xiang Youde, as the bedside doctor, gave a general report on the medical history.

Fang Yun frowned when he heard this.

Infections occur after surgery, and it is common for such patients to be transferred to local hospitals.However, such patients are not easy to manage, because the conditions of Longxian Second People's Hospital are relatively limited, and the quantity and quality of drugs are definitely not as good as those of tertiary hospitals like Jishi People's Hospital.

Fang Yun slowly opened the medical record. The large medical record after admission has not been written and printed, which is normal. The patient only entered the hospital yesterday afternoon, and there was only a simple signature record of the admission interview.Peng Qingsong was on duty yesterday, and he knew more about the situation. At this time, he said: "The patient is 64 years old, an elderly male, and he had a tumor on the left front abdomen that was removed at Jishi People's Hospital."

"On the eighth day after the operation, there was exudation from the wound, and the result of the culture was Escherichia coli infection. Treatment was supposed to continue, but the patient and his family strongly requested to be discharged and transferred to our hospital."

"I called Brother Dong, and Brother Dong said to take them in first."

Fang Yun nodded when he heard this: "The patient's blood test results on the third and sixth days after the operation were relatively normal. The white blood cells were not high. The erythrocyte sedimentation rate and C-reactive protein were increased due to post-operative stress, and the increases were limited."

"But on the ninth day, the white blood cell count rose to 17, and the C-reactive protein and erythrocyte sedimentation rate values ​​increased by nearly half."

"Qingsong, have you ever asked this patient what he has been through these past few days? A more detailed account?"

Drawing blood can reflect the degree of inflammatory reaction in the patient's body to a certain extent. If it is inflammatory healing, white blood cells are not required to participate. If the white blood cell count increases, it must be that the immune response in the body has been activated and there is invasion of foreign bodies such as bacteria. Increase reactivity.

"I..." Peng Qingsong was about to speak.

A little nurse ran over. She just came in last year. She was relatively small, 1.6 meters tall, slender, but with big eyes. She knocked on the door first: "Doctor Fang, there is a patient outside. He said he is looking for a doctor." Director Chen’s.”

"But he doesn't seem to be in an emergency. Sister Qin said that the director and Dr. Dong are not here. Why don't you come over and take a look?"

"Okay!~" Fang Yun heard this and could only stop his work temporarily.

The director and Dong Yunshan are not here. He is the attending physician in the department and has to be on duty.

"You should follow up on the blood results of the three beds. It's best to print out the test sheets and let's take a look at them beside the beds. Xiang Youde, please focus on asking what happened in the six beds in the past few days... …”

When Fang Yun explained this, he looked around, and finally took out an individually packaged medical mask from the pocket of Peng Qingsong's white coat, tore it open, put it on, and walked out.

When the nurse on duty told the patient and family that Dr. Fang had arrived, Fang Yun also noticed that the person who came was not very old, probably around 40 years old. The couple had dark skin and should be engaged in outdoor labor.

"Are you looking for Director Chen? Have you made an appointment with Director Chen in advance?" Fang Yun asked very experiencedly.

Perhaps he was also an acquaintance of Chen Shengwu.

The middle-aged man smiled, showing his yellow teeth, and scattered a stick of fine white sand: "Doctor, we are locals in the town. When Director Chen was an outpatient at the county hospital, he said that we can come back if necessary. Hospitalized.”

"After much thought, we still feel that Director Chen is more trustworthy. After all, he is a local in our town. My wife's current situation can be easily taken care of if she undergoes surgery locally."

"Look, this is the diagnosis written by Director Chen at that time."

While he was talking, after Fang Yun declined the cigarette in his hand, he started talking and handed Fang Yun the medical records from Longxian People's Hospital.

Fang Yun's heart moved when he heard this.

Someone actually returned from Long County People's Hospital to Long County Second People's Hospital in Li Town for Chen Shengwu. It seems that Director Chen's reputation and technical level are not bad!
The smell of wine is not afraid of deep alleys?

Fang Yun was a little envious.

(End of this chapter)