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Chapter 50 Room Rounds (Part 1)
Chapter 50 Ward Rounds (Part [-])
The roles of shooting the table and being shot on the table switched without delay between Liu Pingchuan and Liu Tangchun.Vice-President Liu, who originally planned to ask the teacher to inquire about the crime, suddenly became the role of comforting people.
As Xu Yourong's doctoral supervisor, Liu Pingchuan certainly knew how stubborn his proud disciple could be.After admitting Xu Yourong in the first year, Liu Pingchuan would seriously consider whether to transfer Xu Yourong to another tutor on average every other month, or simply hand it over to the academy for persuasion.Liu Pingchuan himself is the vice president and director of neurosurgery of the Fourth Central Hospital. In addition to scientific research and teaching, he usually puts more energy on administrative management.Therefore, compared with general professors and doctoral supervisors, Liu Pingchuan also requires his doctoral students to have good teamwork and management skills.
But Xu Yourong is different, or in other words, she is a freak.
On the operating table, Xu Yourong watched all directions and listened to all directions.Whether it is teamwork or mutual communication, even emotional management is very good.But when he stepped on the operating table, Xu Yourong seemed to have turned off the "good at communication" switch, and his whole body entered the power saving mode.I don't say anything about what other people say, but I respond as conveniently and directly as possible.As for other people's reactions and psychological feelings, it was completely out of Xu Yourong's consideration.
"You asked me to report?" Although he had asked three times, Sun Lien asked again less than 2 minutes later. "Doctor Xu, this... there is no such rule."
"This is Director Liu's arrangement." Xu Yourong, who entered the power-saving mode, still didn't want to explain in detail, "If you have any questions, just ask Director Liu."
Sun Li'en touched his nose, not knowing what to say.
"The patient's condition has basically stabilized." Xu Yourong didn't pay attention to the curious eyes cast on her from around, but just looked down at Xiaolin Xun's case, "Can you send it to the ICU?"
Sun Lien spread his hands, "This is not my patient, and I have no right to dispose of it."
"Isn't he your patient?" Xu Yourong's eyes widened, then he took out his phone and dialed a number. "Director Liu? We took this RB patient. Yes, I have the right to use my prescription."
After hanging up the phone neatly, Xu Yourong nodded towards Sun Li'en, "He is now."
"Look, old Liu, the strategy I racked my brains to come up with is still very effective." Liu Tangchun proudly shook the phone in his hand at Liu Pingchuan, "Xiao Xu is now helping Li En to get a patient."
Liu Pingchuan felt a little hopeful, but also a little uneasy.Looking forward to Xu Yourong being able to become the deputy chief physician smoothly, the uneasiness is that he is afraid that his successor will be fooled away by Liu Tangchun—not to mention Liu Tangchun, there are definitely two flaws in the ability to use people to know people.Zhou Jun, the successor trained by Zheng Guoyou, is a typical example.It's just that Zhou Jun was probably not the only one who was fooled, I'm afraid Zheng Guoyou was also fooled enough - otherwise, how could Zhou Jun be willing to go to the emergency department!
"Okay, the four patients are all in the ICU. Let's check the room by the way." Sun Lien handed over to the doctor in charge of the ICU. Looking at the time display on the phone at 20:45, Sun Lien decided to go and see a few the condition of the patient.
"Lin Lan, male, 23 years old, peritoneal effusion." Lin Lan's face was a little swollen after the operation, but his urination was normal.The attending doctor sent by the Department of Hematology, wearing hand-washing clothes, sat beside Lin Lan's bed, looking at the heart and lung monitor next to Lin Lan's bed from time to time, as if he was a family member accompanying the bed.
"Hello." Sun Lien shook hands with the attending doctor of the Department of Hematology, "Lin Lan is my patient, please excuse me tonight."
The doctor in charge of the blood test was Wu Boen. He didn't know Sun Lien, but he knew Xu Yourong who was half a step behind Sun Lien. "Hello." Wu Boen was a little unclear about Sun Lien's origin.The doctor who can make Xu Yourong follow behind like an intern must be at least a director level.But Sun Li'en is too young, it is a bit reluctant to say that he is a resident doctor. "you are……?"
"My name is Sun Lien." Sun Lien scratched his head embarrassingly, "Director Liu asked me to be in charge of this case, and Dr. Xu... is in charge of supervising me."
Xu Yourong didn't say anything, she just picked up the record hanging by the bed and looked at it.Lin Lan's brain hematoma removal operation was performed by herself, and the operation went smoothly.Therefore, she focused more on orthopedics.
"The blood flow in the lower limbs has recovered well." Xu Yourong lifted the quilt at the foot of the bed, pressed lightly on Lin Lan's toes a few times, watched the white skin quickly recover to rosy, and nodded in satisfaction, "Orthopedics. Also very good."
"After the patient's condition is stable, do an abdominal B-ultrasound." Although Sun Lien is only a regular trainer, as Lin Lan's doctor, he still has the right to make demands on the ICU doctors. "When she was admitted to the hospital, she was found to have intra-abdominal hemorrhage, but the amount of bleeding was not too large, about 500CC. There was no laparotomy during the operation, please pay more attention."
The doctor on duty in the ICU nodded, and made an extra note in the record, and then asked, "Do you want to take a little abdominal fluid for a biochemical test first?"
Sun Li'en considered it again and again and rejected the suggestion. "No, just observe closely. Give her another bottle of mannitol to control postoperative brain edema and speed up the absorption of ascites."
Xu Yourong nodded, and put the record back at the foot of the bed, "Do as he says."
"When did the two of you get together?" Just as Xu Yourong was putting the case back, Zheng Guoyou's voice suddenly came from the bed next to him, "Or is it that I, Old Zheng, have been sleeping for several years?"
"Director Zheng, are you here too?" Sun Lien was taken aback by the sudden interruption, turned around and saw Zheng Guoyou winking and making faces at him.
"What do you mean I'm here too. I'm not lying here. Could it be that I'm going to lie down in the mortuary?" Zheng Guoyou smacked his lips and lowered his voice towards Sun Lien, "I'm dying of thirst, who is that, Xiao Sun? Go give it to me." I'll get some water."
Patients after coronary intervention are different from traditional postoperative patients in that they need to drink a lot of water so that the contrast agent injected into the blood can be excreted as soon as possible.If the contrast agent remains in the body for too long, it is likely to cause contrast nephropathy, and may even cause kidney failure.
It has been almost 12 hours since Zheng Guoyou underwent PCI (Coronary Intervention Diagnosis and Treatment).Urine output has not been too high.Sun Li'en looked down at the urine bag next to Lao Zheng's bed. The urine output in 12 hours was only about 600ml.This situation is not good.
Sun Lien went to the ICU duty room and poured two cups of warm water, then asked for a straw from the nurse's station, and brought the water back to the bedside. "Director Zheng, you haven't had much water since morning?"
It can be seen that Zheng Guoyou is also quite thirsty.With a straw in his mouth, he drank all the warm water in the cup in one breath. "I just woke up not long ago. If you and Xiao Xu were not talking next to me just now, I might have to sleep for a while."
(End of this chapter)
The roles of shooting the table and being shot on the table switched without delay between Liu Pingchuan and Liu Tangchun.Vice-President Liu, who originally planned to ask the teacher to inquire about the crime, suddenly became the role of comforting people.
As Xu Yourong's doctoral supervisor, Liu Pingchuan certainly knew how stubborn his proud disciple could be.After admitting Xu Yourong in the first year, Liu Pingchuan would seriously consider whether to transfer Xu Yourong to another tutor on average every other month, or simply hand it over to the academy for persuasion.Liu Pingchuan himself is the vice president and director of neurosurgery of the Fourth Central Hospital. In addition to scientific research and teaching, he usually puts more energy on administrative management.Therefore, compared with general professors and doctoral supervisors, Liu Pingchuan also requires his doctoral students to have good teamwork and management skills.
But Xu Yourong is different, or in other words, she is a freak.
On the operating table, Xu Yourong watched all directions and listened to all directions.Whether it is teamwork or mutual communication, even emotional management is very good.But when he stepped on the operating table, Xu Yourong seemed to have turned off the "good at communication" switch, and his whole body entered the power saving mode.I don't say anything about what other people say, but I respond as conveniently and directly as possible.As for other people's reactions and psychological feelings, it was completely out of Xu Yourong's consideration.
"You asked me to report?" Although he had asked three times, Sun Lien asked again less than 2 minutes later. "Doctor Xu, this... there is no such rule."
"This is Director Liu's arrangement." Xu Yourong, who entered the power-saving mode, still didn't want to explain in detail, "If you have any questions, just ask Director Liu."
Sun Li'en touched his nose, not knowing what to say.
"The patient's condition has basically stabilized." Xu Yourong didn't pay attention to the curious eyes cast on her from around, but just looked down at Xiaolin Xun's case, "Can you send it to the ICU?"
Sun Lien spread his hands, "This is not my patient, and I have no right to dispose of it."
"Isn't he your patient?" Xu Yourong's eyes widened, then he took out his phone and dialed a number. "Director Liu? We took this RB patient. Yes, I have the right to use my prescription."
After hanging up the phone neatly, Xu Yourong nodded towards Sun Li'en, "He is now."
"Look, old Liu, the strategy I racked my brains to come up with is still very effective." Liu Tangchun proudly shook the phone in his hand at Liu Pingchuan, "Xiao Xu is now helping Li En to get a patient."
Liu Pingchuan felt a little hopeful, but also a little uneasy.Looking forward to Xu Yourong being able to become the deputy chief physician smoothly, the uneasiness is that he is afraid that his successor will be fooled away by Liu Tangchun—not to mention Liu Tangchun, there are definitely two flaws in the ability to use people to know people.Zhou Jun, the successor trained by Zheng Guoyou, is a typical example.It's just that Zhou Jun was probably not the only one who was fooled, I'm afraid Zheng Guoyou was also fooled enough - otherwise, how could Zhou Jun be willing to go to the emergency department!
"Okay, the four patients are all in the ICU. Let's check the room by the way." Sun Lien handed over to the doctor in charge of the ICU. Looking at the time display on the phone at 20:45, Sun Lien decided to go and see a few the condition of the patient.
"Lin Lan, male, 23 years old, peritoneal effusion." Lin Lan's face was a little swollen after the operation, but his urination was normal.The attending doctor sent by the Department of Hematology, wearing hand-washing clothes, sat beside Lin Lan's bed, looking at the heart and lung monitor next to Lin Lan's bed from time to time, as if he was a family member accompanying the bed.
"Hello." Sun Lien shook hands with the attending doctor of the Department of Hematology, "Lin Lan is my patient, please excuse me tonight."
The doctor in charge of the blood test was Wu Boen. He didn't know Sun Lien, but he knew Xu Yourong who was half a step behind Sun Lien. "Hello." Wu Boen was a little unclear about Sun Lien's origin.The doctor who can make Xu Yourong follow behind like an intern must be at least a director level.But Sun Li'en is too young, it is a bit reluctant to say that he is a resident doctor. "you are……?"
"My name is Sun Lien." Sun Lien scratched his head embarrassingly, "Director Liu asked me to be in charge of this case, and Dr. Xu... is in charge of supervising me."
Xu Yourong didn't say anything, she just picked up the record hanging by the bed and looked at it.Lin Lan's brain hematoma removal operation was performed by herself, and the operation went smoothly.Therefore, she focused more on orthopedics.
"The blood flow in the lower limbs has recovered well." Xu Yourong lifted the quilt at the foot of the bed, pressed lightly on Lin Lan's toes a few times, watched the white skin quickly recover to rosy, and nodded in satisfaction, "Orthopedics. Also very good."
"After the patient's condition is stable, do an abdominal B-ultrasound." Although Sun Lien is only a regular trainer, as Lin Lan's doctor, he still has the right to make demands on the ICU doctors. "When she was admitted to the hospital, she was found to have intra-abdominal hemorrhage, but the amount of bleeding was not too large, about 500CC. There was no laparotomy during the operation, please pay more attention."
The doctor on duty in the ICU nodded, and made an extra note in the record, and then asked, "Do you want to take a little abdominal fluid for a biochemical test first?"
Sun Li'en considered it again and again and rejected the suggestion. "No, just observe closely. Give her another bottle of mannitol to control postoperative brain edema and speed up the absorption of ascites."
Xu Yourong nodded, and put the record back at the foot of the bed, "Do as he says."
"When did the two of you get together?" Just as Xu Yourong was putting the case back, Zheng Guoyou's voice suddenly came from the bed next to him, "Or is it that I, Old Zheng, have been sleeping for several years?"
"Director Zheng, are you here too?" Sun Lien was taken aback by the sudden interruption, turned around and saw Zheng Guoyou winking and making faces at him.
"What do you mean I'm here too. I'm not lying here. Could it be that I'm going to lie down in the mortuary?" Zheng Guoyou smacked his lips and lowered his voice towards Sun Lien, "I'm dying of thirst, who is that, Xiao Sun? Go give it to me." I'll get some water."
Patients after coronary intervention are different from traditional postoperative patients in that they need to drink a lot of water so that the contrast agent injected into the blood can be excreted as soon as possible.If the contrast agent remains in the body for too long, it is likely to cause contrast nephropathy, and may even cause kidney failure.
It has been almost 12 hours since Zheng Guoyou underwent PCI (Coronary Intervention Diagnosis and Treatment).Urine output has not been too high.Sun Li'en looked down at the urine bag next to Lao Zheng's bed. The urine output in 12 hours was only about 600ml.This situation is not good.
Sun Lien went to the ICU duty room and poured two cups of warm water, then asked for a straw from the nurse's station, and brought the water back to the bedside. "Director Zheng, you haven't had much water since morning?"
It can be seen that Zheng Guoyou is also quite thirsty.With a straw in his mouth, he drank all the warm water in the cup in one breath. "I just woke up not long ago. If you and Xiao Xu were not talking next to me just now, I might have to sleep for a while."
(End of this chapter)
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