Path of Medicine With a System

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The formal career of a doctor began. Zhang Fan did not give up his studies. When he had time, he read books with Shao Hua, practiced his spoken English, memorized words, and took a walk. Shao Hua and the two elderly people took care of all the trivial matters at home, and they absolutely did not let the small matters at home interfere with Zhang Fan, and even the old couple quarreled much less on weekdays.

Every week, if Zhang Fan is not busy, he and Shao Hua will call his parents and Jing Shu. If Zhang Fan has no time, Shao Hua will call regularly to greet him. The days passed slowly like this, plain and bland, like chicken soup for the stomach, light but nutritious, and happiness in the bowl.

It was the turn of Zhang Fan and his team to take in patients. The emergency department had already sent two patients the day before yesterday. Although Zhang Fan and his team were not taking in patients, it was the emergency department who called Zhang Fan specifically. The other doctors were fine. Said. One had a non-open clavicle fracture, and the other had a non-open ankle fracture. They were dehydrated for one day to reduce swelling. After completing the surgical examination, the operation was scheduled until today.

Today is Zhang Fan's 24-hour shift, and he must be a member of the team in the department to handle discharge and admission. Because the outpatient clinic is always full of patients. "Yanan, brother Xue, which one of you stays in the department."

"Me!" Xue Feiba had to have an operation. The day he was admitted to the hospital, he had to have the operation for one day. After this day, his legs were no longer his own.

"Okay, then I'll take Yanan to the surgery. Dr. Li, do you want to have the surgery or write the medical records in the department?" Zhang Fan said to the female doctor who transferred to another department. This group is tailor-made for Zhang Fan. , the attending doctor of Moyu, a resident doctor of a female man.

"Mr. Zhang, I'd better write the medical records." The female doctor said hesitantly. She was not as tall as Wang Yanan, and her body was also very weak, so she didn't plan to do surgery. Zhang Fan originally set a score of 70-30 for surgery and medical records, but it turned out to be a bit high. Both Lao Xue and Wang Yanan felt that it was inappropriate, and finally set 31 for medical records. Discharged medical records, admitted medical records, the little girl is busy.

"Okay, you write the medical records in the department. This is my meal card. If you want to eat at noon, just swipe my card." Zhang Fan handed his meal card to Xiao Li.

"I have Teacher Zhang with a card, no need." The little girl was a little embarrassed.

"What's yours is yours. You follow us on duty and work for us. We should take care of the meals. You're welcome." Zhang Fan handed the card to Wang Yanan, and Wang Yanan stuffed the card into the pocket of the girl's white coat involuntarily. . "You're welcome, take it! You don't have a bonus, so you can save a little." Wang Yanan said.

"Thank you!" Xiao Li said blushing.

"Okay! Go to surgery." Zhang Fan is about to enter the operating room. The two new graduate students have also inquired about Zhang Fan recently, but people are like this, and they don't believe it. Xu Xian and the others also have an operation, Xu Xian has already made a decision, and must see Zhang Fan and the others after the operation is over.

In spring, the ice and snow melt and the earth rejuvenates. The state supports the frontier, and many large-scale projects have also started. In the early years, most of the orthopedic patients were injured by falls, especially the elderly who suffered fractures due to accidental falls. However, in recent years, although there have been more injuries by the elderly, they have dropped to the third place.

The number one fracture is a car accident, all kinds of car accidents. The second is the accidental fracture in the engineering team. Especially in car accidents in the city, although the speed of the car is not fast, it is really going to hit hard, and a comminuted fracture will not escape easily.

The three orthopedic departments have their own dedicated operating rooms, and the anesthetists and surgical nurses are not fixed. However, the head nurse in the operating room treated Zhang Fan differently, so it was very quick to match the tables.

"Hey, Zhang Fan, you finally came out of the internal medicine department. Why don't you invite the eldest sister to eat after you've been admitted to the department." The head nurse greeted Zhang Fan from a distance when he saw Zhang Fan change into his hand washing clothes and enter the operating room.

"Hello head nurse, isn't there a lot of operations? I'm thinking about finding a weekend,

Specially invite the sisters in our department to have a meal. "Zhang Fan laughed before saying anything. Although he was wearing a mask, the head nurse felt comfortable looking at his smiling eyes.

"Why, you have a crush on someone in our department, you tell the elder sister quietly, and you will definitely get it for you." Saying this, the head nurse deliberately posted it. The distance is not far or close, it looks like it is pasted, but it is actually a little bit short. But the fragrance of the head nurse, the white neck, and the neckline of the hand washing clothes are peach hearts, and the looseness can be vaguely seen, as if it is black!

"Hehe, really not, I already have a girlfriend!" Zhang Fan took a step back without being noticed, really, I couldn't stand it! Faced with such a young woman with high EQ, Zhang Fan had no choice but to retreat, otherwise, the head nurse would definitely die of laughter!

"I'm not married, and even if I get married, I can get divorced. Really, the little girl in our department is not a good person. Before you are married, be more picky, or you will regret it."

"Zhang Fan!" Wang Yanan came out of the female doctor's changing room and went to their special operating room, but Zhang Fan hadn't come yet, so he opened the sensor door and saw that Zhang Fan was chatting with the head nurse, so he raised his head and yelled. This time Zhang Fan was rescued.

"Head nurse, I'm going to the surgery." Zhang Fan leaned against the wall and prepared to leave.

"Hehe, go, your little apprentice is jealous!" Before leaving, the head nurse said something like a cat!

"Hehe!" Zhang Fan didn't dare to argue.

After entering the operating room, Wang Yanan glared at Zhang Fan and said, "Don't hang out with her, or I will definitely file a complaint against Shao Hua."

"What and what, hurry up and wash your hands and disinfect." Zhang Fan didn't care at all. The little girl still didn't understand this matter, but Zhang Fan knew very well that the head nurse was absolutely meaningless. It was just a different way of getting along. .

"Hmph! You think she's just warm to you. She's always like that to doctors who are more powerful. I've seen it several times." Wang Yanan whispered, because the anesthetist and nurse were already in place. Wang Yanan has really improved now, if he had said it out loud before.

"Crap, wash your hands quickly, or I'll go." Zhang Fan couldn't explain to her that this girl's realm hadn't been reached yet. Although she is one year younger than Zhang Fan, Zhang Fan is definitely already almost forty in his heart!

Wash hands, disinfect, spread sheets, and cover holes with towels. When entering the operating room, almost everything is paid attention to, and there are rules. Don’t speak loudly. First, you are afraid of disturbing others. Second, the louder your voice, the easier it is for the droplets in your mouth to come out and contaminate the surgical area.

When washing your hands, you must wash to the elbow joint. After washing, keep your hands and arms suspended in the air, and you must ensure a sterile posture. Moreover, the doctor's hands are also very demanding. You can't wear any rings or watches. If there are ulcers, then you don't need to have surgery!

Drapes are generally three layers. The thickness of these three layers of cloth sheets is estimated to be four centimeters. The thick cloth sheets for three layers directly cover the human body from head to toe. On the operating table, only surgery The area is leaked, and other places can't be seen at all.

At the beginning of the operation, the first clavicle was fractured. Simple, too simple, the current Zhang Fan, this kind of operation is not difficult for him, but even if it is not difficult, Zhang Fan is very cautious, regardless of the size of the operation, he must treat it equally. Otherwise, something will happen sooner or later.

Wang Yanan wanted to do it, but seeing how broken it was, he never asked to be the main surgeon. "Here, come and feel it. The collarbone is curved, and look at the broken part. This is the thinnest part of the collarbone. When you put on the steel plate, you must correct the steel plate. Otherwise, the steel plate will not fit well. A few months after the patient was discharged from the hospital, either the steel plate was broken or a bone nonunion occurred."

While Zhang Fan was doing it, he gave Wang Yanan the key points while talking non-stop. First, Wang Yanan is very dedicated. Even a teacher would like this kind of doctor and forget her gender. Second, Zhang Fan and Shao Huan were able to go so smoothly, thanks to this girl. Zhang Fan had said at the beginning that he must help her gain a foothold in the orthopedics department. Thirdly, this girl has actually treated Zhang Fan as a master. This is a drink and a peck, Wang Yanan is also kind to Zhang Fan!

After more than half an hour, even after waking up from anesthesia, the first operation was over.

The itinerant nurse and the surgical nurse hurriedly packed up the instruments and the various sheets still on the ground. Then put all these in the cleaning passage, there are cleaners who specialize in cleaning up the items after the operation, and they are waiting in the cleaning passage. Take the blood-stained sheet away from the cleaning path.

Ten minutes later, the anesthesiologist said: "Wash your hands!" Wang Yanan continued to wash his hands and disinfect them.

In the outpatient clinic, there were many patients, and three people from car accidents came one after another, all of which were open fractures. The worker who was injured by the injury on the construction site had a broken foot, which was also an open fracture, and another open fracture occurred when he was about to leave work.

In this surgery, what is open and what is non-open is actually simple. Open means that there is a wound and the bone leaks out. This kind of trauma must be operated on as soon as possible. The longer it is delayed, it will lead to osteomyelitis and the higher the chance of infection.

Non-open surgery generally requires surgery after the swelling is reduced. If the swelling is severe, the doctor will be dumbfounded after the surgery, and the skin will not be sutured together! Especially in places where the skin is thin, you must wait until the swelling subsides before doing it. This is also because some people have fractures and are admitted to the hospital for three or four days or even a week before undergoing surgery. This is not because the doctor wants to wait to ask you for a red envelope, but because they cannot do it at this time!

Two surgeries, three surgeries, and four surgeries, Wang Yanan couldn't hold on anymore. It's been a whole day, and the girl really can't bear it anymore, her waist is sore and her legs are hurting. After the fourth operation, Wang Yanan's waist was a little bent. But the patients kept coming, and the emergency department had already called, and a patient number for femur fracture surgery was sent up immediately.

"Go down, go, Xue Fei called up." Zhang Fan said.

"It's okay, I can still persevere." Zhang Fan can persevere, and she thinks she can persevere too.

"Be obedient, surgery is not done in a day. Go!"

"But why don't you go down?"

"I'm one year older than you. Go, be obedient." Zhang Fan definitely wouldn't say that I'm a man, otherwise this girl might not go down.

"Well, I'm going down."

In the department, it's already off work. "Why don't you leave?" Xue Fei said to Xu Xian, who was already off work, while looking at his phone while eating his boxed lunch.

"Well, I'm not in a hurry. I still haven't finished writing the medical records." When Xu Xian had the surgery, Zhang Fan and the others also had the surgery, and Xu Xian wanted to give a doctor's order to explain his condition, so he didn't see Zhang Fan's surgery, but he was not reconciled. , and there are many surgical patients today, he is waiting, waiting for Zhang Fan to ask for help, and then prepares to go up and compare with Zhang Fan.

This is the common problem of Xueba, who is not convinced. That's right, if you want to make progress, you must have a disobedient attitude and spirit. At this time, the nurse station of the Department of Orthopedics doesn't look like they are off work. There are many patients, the nurses on the day shift are still working overtime, and the nurses on the night shift have come to take over.

The head nurse didn't leave either. There were too many newly admitted patients, so she had to stare at them for a while, otherwise something would happen. "There is still fluid in the eighth bed, and the bell is ringing!" Miao Juan stood at the nurse's station and shouted to the nurses, "Head nurse, there are two sets of beds left, this set is for antibiotics, please change it for me, I am busy But come."

"You little hoof knows how to order me!" Although he was nagging, he went to help change the medicine without hesitation.

"Oh! I said Xue Fei, you Zhang Fan is really a lucky cat, he has so many patients on duty." After changing the medicine, the head nurse saw Xue Fei leisurely eating and looking at his phone. Just said something at the door of the office.

"Have you eaten? If not, let's eat together."

"It's all leftovers, so you call me. There is no sincerity at all. We are so busy that the nurses haven't eaten yet. Go buy a KFC."

When Xue Fei was about to make excuses, Wang Yanan dragged his leaden legs into the department. "You go to the operating room, there is another femur fracture."

"Hi! What a day it is!" Xue Fei said as he got up and went to the operating room. It would be a bit shameless if he didn't show up at this time. Xiao Li, who was transferred to another department, was in pain and joy.

When other departments are transferred, how can I get paid for writing medical records? This is work. But after arriving at the first orthopedic department, she didn't care about the money, but there were too many medical records, and she didn't get up from morning till night. However, I am happy to think that I have earned more than one hundred yuan today.

Xu Xian looked at Wang Yanan, but said nothing. "Five surgeries, even if your body is as strong as a cow, you can't stand it!"

Rush hour, car accident. The ambulance whimpered and brought in two more broken bones. It was almost eleven o'clock at night. Zhang Fan still had another operation. Xu Xian kept waiting, but Wang Yanan ate a little, slept for a while, and went to the operating room. It just didn't wait for Zhang Fan to come down.

Xu Xian looked at his watch, it was almost one o'clock in the morning. From nine o'clock in the morning until now. Zhang Fan has been undergoing surgery, and Xu Xian's face turned blue. Regardless of the level of surgery, in terms of body, he is no longer Zhang Fan's opponent. Surgery, especially orthopedics is half-manual work!

Xiao Li, who wrote the medical records, has no joy at this time, only pain!

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